KELLY DICKINSON (NPI# 1568861623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568861623 |
| Entity Type | Individual |
| Full Name | KELLY DICKINSON |
| Practice Address |
460 Hospital Rd New Roads LA 70760-2623 |
| Practice Telephone | 2256388616 |
| Practice Fax Number | 2256387862 |
| Mailing Telephone | 2256388616 |
| Mailing Fax Number | 2256387862 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 015660 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871023317 | Kelly Courtney Dickinson | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2017-06-18 |
| 1427455849 | Kelly Dickinson | Hearing Instrument Specialist | 1501 Hanks St, Suite A, Lufkin, TX 75904-5411 | 2014-12-01 |
| 1528386372 | Kelly Sue Dickinson | Social Worker | 201 Main St, Suite 100, Atchison, KS 66002-2838 | 2010-05-04 |
| 1841221207 | Kelly A Dickinson | Psychologist | 32020 32nd Ave S, Federal Way, WA 98001-9349 | 2006-07-05 |
| Street Address |
460 HOSPITAL RD |
| City | NEW ROADS |
| State | LA |
| Zip Code | 70760-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609893965 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 460 Hospital Rd, New Roads, LA 70760-2623 | 2006-07-16 |
| 1386017655 | Jacklyn Olinde | Pharmacist | 460 Hospital Rd, New Roads, LA 70760-2623 | 2015-11-08 |
| 1770982738 | Bridget Bordelon | Pharmacist | 460 Hospital Rd, New Roads, LA 70760-2623 | 2014-08-15 |
| 1134528334 | Randall Cashio | Pharmacist | 460 Hospital Rd, New Roads, LA 70760-2623 | 2014-08-14 |
| 1649458571 | James E Allain Jr. | Pharmacist | 460 Hospital Rd, New Roads, LA 70760-2623 | 2008-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417417932 | Talana Butler | Counselor | 8637 Pecan Drive East, New Roads, LA 70760 | 2019-03-21 |
| 1689138018 | Innis Community Health Center, Inc | Clinic/Center | 8434 Pointe Coupee Road, New Roads, LA 70760 | 2019-01-30 |
| 1790156073 | Erica Noel Kimble | Case Manager/Care Coordinator | 1919 Hospital Rd., New Roads, LA 70760 | 2015-10-13 |
| 1497125462 | Deanderia D Gremillion | Counselor | 1919 A Hospital Rd, New Roads, LA 70760 | 2015-10-02 |
| 1720458961 | Lacie Ourso Kemp | Case Manager/Care Coordinator | 1919 Hospital Road, Ste A, New Roads, LA 70760 | 2015-09-30 |
| 1093184467 | Pointe Coupee Council On Aging | Non-emergency Medical Transport (VAN) | 2112 False River Drive, New Roads, LA 70760 | 2015-09-16 |
| 1417154766 | Robin Diane Moeller | Counselor | 112 W. Main Street, New Roads, LA 70760 | 2007-06-29 |
| 1851503890 | Toni Guerin | Speech-Language Pathologist | 142 New Roads St., New Roads, LA 70760 | 2007-05-03 |
| 1295955458 | Pointe Coupee Parish Schools | Clinic/Center | 1662 La Hwy. 1, New Roads, LA 70760 | 2007-04-27 |
| 1861617664 | Kevin D Flint | Dentist | 282 Hospital Road, New Roads, LA 70760 | 2007-04-16 |
| Find all providers in zip 70760 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376724021 | Charles V Russo | Pharmacist | 906 Janis St, New Roads, IA 70760-2920 | 2007-11-23 |
| 1811092372 | Jacqueline Frances Bergeron | Pharmacist | 213 Hospital Rd, Winn Dixie Pharmacy #1572, New Roads, LA 70760 | 2006-09-13 |
| 1356444244 | Jason Scott Eaves | Pharmacist | 213 Hospital Road, New Roads, LA 70760 | 2006-09-06 |
| 1477062933 | Trohn Peter Blanchard | Pharmacist | 169 E Main St, New Roads, LA 70760-3505 | 2017-09-27 |
| 1386017655 | Jacklyn Olinde | Pharmacist | 460 Hospital Rd, New Roads, LA 70760-2623 | 2015-11-08 |
| 1770982738 | Bridget Bordelon | Pharmacist | 460 Hospital Rd, New Roads, LA 70760-2623 | 2014-08-15 |
| 1134528334 | Randall Cashio | Pharmacist | 460 Hospital Rd, New Roads, LA 70760-2623 | 2014-08-14 |
| 1649458571 | James E Allain Jr. | Pharmacist | 460 Hospital Rd, New Roads, LA 70760-2623 | 2008-02-01 |
| 1831230820 | Raymond H. Garrett Sr. | Pharmacist | 303 E Main St, New Roads, LA 70760-3635 | 2007-02-11 |
| 1558462747 | Danielle A Joffrion | Pharmacist | 213 Hospital Road, Winn Dixie Pharmacy #1572, New Roads, LA 70760 | 2006-09-26 |
| Find all providers in NEW ROADS | ||||
Please comment or provide details below to improve the information on KELLY DICKINSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.