DAVID RAINES COMMUNITY HEALTH CENTER INC (NPI# 1639489990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639489990 |
| Entity Type | Organization |
| Organization Name | DAVID RAINES COMMUNITY HEALTH CENTER INC |
| Other Organization Name | DAVID RAINES COMMUNITY HEALTH CENTERS PHARMACY |
| Practice Address |
1514 Doctors Dr Bossier City LA 71111-3379 |
| Mailing Address |
1625 David Raines Rd Shreveport LA 71107-5899 |
| Practice Telephone | 3188416057 |
| Practice Fax Number | 3188416058 |
| Mailing Telephone | 3184252252 |
| Mailing Fax Number | 3182273359 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | WILLIE WHITE (CEO) |
| Authorized Official Telephone | 3182273342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHY006318IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2127483 | 01 |
| Other Name | Type Code |
|---|---|
| David Raines Community Health Centers Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438998 | David Raines Community Health Center Inc | Clinic/Center | 128 Homer Rd, Minden, LA 71055-2732 | 2005-06-27 |
| 1144705930 | David Raines Community Health Center Inc | Clinic/Center | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2018-09-27 |
| 1861415721 | David Raines Community Health Center Inc | Pharmacy | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2006-07-25 |
| Street Address |
1514 DOCTORS DR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891964789 | David Raines Community Health Center, Inc | Clinic/Center | 1514 Doctors Dr, Bossier City, LA 71111-3379 | 2008-02-25 |
| 1295180578 | Meredith N Eastin | Registered Nurse | 1514 Doctors Dr, Bossier City, LA 71111-3379 | 2016-04-25 |
| 1740648344 | Charlisa Brown | Registered Nurse | 1514 Doctors Dr, Bossier City, LA 71111-3379 | 2016-02-10 |
| 1669732616 | Elsie Mary Dittman | Counselor | 1514 Doctors Dr, Bossier City, LA 71111-3379 | 2012-05-24 |
| 1639435233 | Tara Ashley Andrews | Pediatrics | 1514 Doctors Dr, Bossier City, LA 71111-3379 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285072793 | Rx Care 8 LLC | Pharmacy | 2951 E Texas St Ste E, Bossier City, LA 71111-3280 | 2013-06-06 |
| 1932272267 | Brookshire Grocery Company | Pharmacy | 4918 Barksdale Blvd, Attention Pharmacy Dept, Bossier City, LA 71112-4555 | 2006-11-16 |
| 1770656241 | Brookshire Grocery Company | Pharmacy | 1870 Airline Dr, Attention Pharmacy Dept, Bossier City, LA 71112-2702 | 2006-11-15 |
| 1952332926 | K Mart Corp | Pharmacy | 3045 E Texas St, Bossier City, LA 71111-3207 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766563 | Bartley Enterprises | Pharmacy | 11634 Texas Hwy, Many, LA 71449 | 2020-10-02 |
| 1982218392 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 2500 Belle Chasse Hwy Ste T1224, Gretna, LA 70056-7127 | 2020-09-02 |
| 1477162972 | Mercy Medical Health Center | Pharmacy | 4631 Quitman Hwy, Hodge, LA 71247 | 2020-07-30 |
| 1306470265 | Capitol City Family Health Center, Incorporated | Pharmacy | 3111 Florida Blvd Ste B, Baton Rouge, LA 70806-3774 | 2020-02-28 |
| 1215561527 | Caldwell Drug | Pharmacy | 8141 Us Hwy. 165, Columbia, LA 71418 | 2020-02-25 |
| 1962042028 | Southeast Community Health Systems Pharmacy Kentwood | Pharmacy | 734 Avenue G, Kentwood, LA 70444-2602 | 2020-01-07 |
| 1780234567 | Avita Drugs LLC | Pharmacy | 1715 Common St Ste A, Lake Charles, LA 70601-6135 | 2019-09-13 |
| 1386204659 | Highrhealth | Pharmacy | 516 N Burnside Ave, Gonzales, LA 70737-2830 | 2019-06-18 |
| 1265091474 | Medicis LLC | Pharmacy | 1727 Imperial Blvd Bldg 4, Lake Charles, LA 70605-5393 | 2019-06-11 |
| 1639642556 | Hospital Service District 1 of East Baton Rouge Parish | Pharmacy | 6300 Main St Ste 100, Zachary, LA 70791-4037 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.