DR. JOHN CLETUS ANDRY III (NPI# 1578810438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578810438 |
| Entity Type | Individual |
| Full Name | DR. JOHN CLETUS ANDRY III |
| Credential | PHARM. D. |
| Practice Address |
2731 Manhattan Blvd Suite B17 Harvey LA 70058-6151 |
| Practice Telephone | 5043554191 |
| Practice Fax Number | 5043554192 |
| Mailing Telephone | 5043554191 |
| Mailing Fax Number | 5043554192 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
19137 | LA | Pharmacy Service Providers |
| Street Address |
2731 MANHATTAN BLVD SUITE B17 |
| City | HARVEY |
| State | LA |
| Zip Code | 70058-6151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174708127 | Kroger Specialty Pharmacy La LLC | Pharmacy | 2731 Manhattan Blvd, Ste B17, Harvey, LA 70058-6151 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853003 | Carmen Nikita Ward-lewis | Counselor | 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 | 2020-02-19 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1316436447 | Affiliated Heart2heart Homecare Services, Inc. | In Home Supportive Care | 1901 Westbank Expy Ste 600, Harvey, LA 70058 | 2018-05-03 |
| 1720595804 | Alkeisha Lachelle Clark | Counselor | 4209 L Ac Couture Dr., D, Harvey, LA 70058 | 2018-01-10 |
| 1659888253 | Kevin A Velasquez | Psychologist | 81 Lake Lynn Dr, Harvey, LA 70058 | 2018-01-04 |
| 1629582937 | Tessie Hart | Counselor | 426 Manhattan Blvd., Harvey, LA 70058 | 2017-11-22 |
| 1326557562 | Lauretta Anne Gavin | Counselor | 2439 Manhattan Blvd., Suite 207, Harvey, LA 70058 | 2017-09-20 |
| 1760908792 | Eboni Dillon | Counselor | 3148 Keith Way Dr, Harvey, LA 70058 | 2017-08-22 |
| 1194246207 | Shawn Galmore | Counselor | 2808 Keithway Dr, Harvey, LA 70058 | 2017-06-28 |
| 1750811345 | Elite Learning Academy | Private Vehicle | 1913 Sugarloaf Drive, Harvey, LA 70058 | 2017-06-15 |
| Find all providers in zip 70058 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679037451 | Bernice Lynette Mclaurin | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2019-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952957557 | Medication Management Consultants LLC | Pharmacist | 318 Bevly Lake Dr, Bossier City, LA 71111-5174 | 2019-08-11 |
| 1801395108 | Pharmdready, LLC | Pharmacist | 1921 Oak Creek Rd Apt 237, River Ridge, LA 70123-5870 | 2018-02-02 |
| 1609241587 | Wagih Sous | Pharmacist | 4283 Carter St., Vidalia, LA 71373 | 2015-12-03 |
| 1790158426 | Kady Eschete | Pharmacist | 114 Bayou Bend Dr, Houma, LA 70364-1101 | 2015-11-03 |
| 1760874135 | John Scott Blake | Pharmacist | 624 Texas St Apt 403, Shreveport, LA 71101-3553 | 2015-02-23 |
| 1811397656 | Walmart Pharmacy | Pharmacist | 8912 Veterans Blvd, Metairie, LA 70003 | 2014-08-29 |
| 1700285855 | Sam Grizzaffi | Pharmacist | 3224 Lake Palourde Dr, Morgan City, LA 70380-1563 | 2014-08-14 |
| 1992080741 | John Michael Pollard | Pharmacist | 8155 Highway 165, Columbia, LA 71418-4341 | 2011-10-12 |
| 1700169463 | Leslie Richard Carr | Pharmacist | 5840 Brookflower Circle Ln, Lake Charles, LA 70605-0293 | 2011-09-20 |
| 1700175734 | Timothy James Moten | Pharmacist | 114 Gause, Slidell, LA 70460 | 2011-03-30 |
| 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.