MR. GEORGE EDWARD LERAY (NPI# 1639171325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639171325 |
| Entity Type | Individual |
| Full Name | MR. GEORGE EDWARD LERAY |
| Credential | PHD |
| Practice Address |
610 N Pine St Deridder LA 70634-3546 |
| Practice Telephone | 3374637210 |
| Practice Fax Number | 3374620930 |
| Mailing Telephone | 3374637210 |
| Mailing Fax Number | 3374620930 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9044 | LA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1221457 | 05 |
| Street Address |
610 N PINE ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568510030 | Ideal Health Mart Pharmacy Inc | Pharmacy | 610 N Pine St, Deridder, LA 70634-3546 | 2007-01-08 |
| 1538475991 | Kesa Lane | Pharmacist | 610 N Pine St, Deridder, LA 70634-3546 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| 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 |
|---|---|---|---|---|
| 1588015846 | Heather Tweedel | Pharmacist | 406 Ingallwood Park Rd, Deridder, LA 70634-4454 | 2016-06-28 |
| 1780805648 | Gary L Godair | Pharmacist | 702 N Frusha Dr, Deridder, LA 70634-3222 | 2007-05-01 |
| 1003812058 | Stephen Peter Stephen | Pharmacist | 1125 N Pine St, Deridder, LA 70634-2819 | 2005-06-23 |
| 1053918219 | Hyunah Kwon | Pharmacist | 916 N Pine St, Deridder, LA 70634-2816 | 2020-10-01 |
| 1427519966 | Jee Eun Choi | Pharmacist | 916 N Pine St, Deridder, LA 70634-2816 | 2019-03-27 |
| 1053785303 | Deborah Wells | Pharmacist | 916 N Pine St, Deridder, LA 70634-2816 | 2015-11-24 |
| 1295134716 | Sheila Feldtman | Pharmacist | 1125 N Pine St, Deridder, LA 70634-2819 | 2014-08-20 |
| 1205235918 | Kimber Bennett | Pharmacist | 1125 N Pine St, Deridder, LA 70634-2819 | 2014-08-19 |
| 1770982977 | Charles Robin | Pharmacist | 1125 N Pine St, Deridder, LA 70634-2819 | 2014-08-14 |
| 1275879488 | Jo Perry Blankenship | Pharmacist | 916 N Pine St, Deridder, LA 70634-2816 | 2012-12-14 |
| Find all providers in DERIDDER | ||||
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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.