BROOKE E BAETZ (NPI# 1609139864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609139864 |
| Entity Type | Individual |
| Full Name | BROOKE E BAETZ |
| Credential | PHARMD |
| Practice Address |
1514 Jefferson Hwy Jefferson LA 70121-2429 |
| Practice Telephone | 1504842657 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PST.019413 | LA | Pharmacy Service Providers |
| Street Address |
1514 JEFFERSON HWY |
| City | JEFFERSON |
| State | LA |
| Zip Code | 70121-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873649 | Aaron R Beckner | Pharmacist | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-08-28 |
| 1346852456 | Aminat Tijani | Pharmacist | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-08-19 |
| 1336767078 | Olga Lopez Pinar | Nurse Practitioner | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-07-09 |
| 1760008833 | Ashley Bertaut Stickman | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-06-24 | |
| 1417570045 | Graham Derek Unis | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Jefferson, LA 70121 | 2020-05-18 |
| 1801416953 | Paula Cacioppo | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-04-19 |
| 1548889892 | Shivam Patel | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-04-15 |
| 1235758798 | Danielle Esnard | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-04-14 |
| 1164050399 | Hassan Aliakbarian | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-04-01 |
| 1174151823 | Elizabeth Feigley | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772191 | Carlos Andres Cevallos | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2020-05-28 |
| 1497375257 | Vipin Varghese | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Bh 629, New Orleans, LA 70121 | 2020-04-22 |
| 1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1295213494 | Shima Abdulhameed A Aziz | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Ochsner Clinic Foundation, New Orleans, LA 70121 | 2018-07-31 |
| 1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
| 1396240909 | Jasmine Kaur Bahd | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Highway, Academic Center 1st Floor, New Orleans, LA 70121 | 2018-03-26 |
| 1649774480 | William Shamus Rohn | Student in an Organized Health Care Education/Training Program | 137 Jules Ave, Jefferson, LA 70121 | 2018-03-19 |
| 1295262665 | Uday Shanker Nadimpally | Student in an Organized Health Care Education/Training Program | Ochsner Clinic Foundation, 1514, Jefferson Hwy, New Orleans, LA 70121 | 2017-05-17 |
| 1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
| Find all providers in zip 70121 | ||||
| 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 |
|---|---|---|---|---|
| 1245862317 | Garnett Edward Zeagler | Pharmacist | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2020-02-06 |
| 1790317857 | Brittany Michelle Wroe | Pharmacist | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2020-02-06 |
| 1154951440 | Alice Alden Rowland | Pharmacist | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2020-01-25 |
| 1992216444 | Kristina Ann Dupre | Pharmacist | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2017-10-23 |
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|---|---|---|---|---|
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| 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 |
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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.