BRENT MARTI (NPI# 1578628905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578628905 |
| Entity Type | Organization |
| Organization Name | BRENT MARTI |
| Other Organization Name | HEALTH WISE PHARMACY |
| Practice Address |
916 Sampson St Ste A Westlake LA 70669-5347 |
| Practice Telephone | 3374397067 |
| Practice Fax Number | 3374366427 |
| Mailing Telephone | 3374397067 |
| Mailing Fax Number | 3374366427 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | BRENT MARTI (OWNER) |
| Authorized Official Telephone | 3374397067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3495 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2033627 | 01 | |
| LA | 1263958 | 05 |
| Other Name | Type Code |
|---|---|
| HEALTH WISE PHARMACY | Doing Business As Name - Organization |
| Street Address |
916 SAMPSON ST STE A |
| City | WESTLAKE |
| State | LA |
| Zip Code | 70669-5347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346746757 | Michael Ogea | Family Medicine | 2200 Old Spanish Trail, Westlake, LA 70669 | 2018-04-04 |
| 1215310453 | Jordan Stein Broussard | Nurse Practitioner | 3301 Old Spanish Trail, Westlake, LA 70669 | 2015-07-07 |
| 1518242296 | Eastman Chiropractic Clinic | Chiropractor | 902 Sampson Street, Westlake, LA 70669 | 2011-10-13 |
| 1598829269 | Paul Dean Vidrine | Dentist | 902a Shady Ln, Westlake, LA 70669 | 2006-12-20 |
| 1568592368 | Jody Robert George | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-03-07 |
| 1609191113 | Ramona Leigh Whittington | Nurse Practitioner | 2345 Sampson St, Westlake, LA 70669-2711 | 2010-03-29 |
| 1396951307 | Randall K Wagman Md Apmc | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-05-15 |
| 1467675462 | The Family Care Center of Southwest Louisiana, LLC | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-04-10 |
| 1629389101 | Vonda Flue | Occupational Therapist | 924 Live Oak St, Westlake, LA 70669-3209 | 2010-06-29 |
| 1477864338 | Rita Rae Fontenot | Podiatrist | 1403 Beech St, Westlake, LA 70669-4101 | 2010-06-25 |
| Find all providers in zip 70669 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093720930 | Marc Glassman Inc | Pharmacy | 30050 Detroit Rd, Westlake, OH 44145-1943 | 2006-07-29 |
| 1689689507 | Riser Foods Company | Pharmacy | 30275 Detroit Rd, Westlake, OH 44145-1948 | 2006-07-29 |
| 1417962440 | Walgreen Co | Pharmacy | 25524 Center Ridge Rd, Westlake, OH 44145-4048 | 2006-07-29 |
| 1295166908 | Freds Stores of Tennessee Inc. | Pharmacy | 1514 Sampson St, Westlake, LA 70669-4632 | 2013-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568054 | Chris Pharmacy of Gonzalez LLC | Pharmacy | 14505 Highway 44 Ste 112, Gonzales, LA 70737-7195 | 2020-11-02 |
| 1639779788 | Harvey Lee Smith Jr. | Pharmacy | 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 | 2020-10-28 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1093321812 | Community Pharmacy of Sterlington | Pharmacy | 200 Scott Dr, Sterlington, LA 71280 | 2020-09-17 |
| 1386256121 | Lagniappe Pharmacy 7, LLC | Pharmacy | 1900 Saint Charles Ave, New Orleans, LA 70130-5317 | 2020-08-22 |
| 1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
| 1053929703 | Viallon Drug Co of Donaldsonville | Pharmacy | 309 Marchand Dr, Donaldsonville, LA 70346-3242 | 2020-07-20 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
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| 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.