CHERYLN BOUTAN (NPI# 1679958227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679958227 |
| Entity Type | Individual |
| Full Name | CHERYLN BOUTAN |
| Practice Address |
4200 Houma Blvd Pharmacy Metairie LA 70006-2970 |
| Mailing Address |
7400 Primrose Dr New Orleans LA 70126-2030 |
| Practice Telephone | 5045036255 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
018610 | LA | Pharmacy Service Providers |
| Street Address |
4200 HOUMA BLVD PHARMACY |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093717 | Daniel G. Fontanez | Radiology | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2005-06-16 |
| 1871059097 | Toni Mccalister Johnson | Registered Nurse | 4200 Houma Blvd, Metairie, LA 70006-2996 | 2019-02-12 |
| 1699230755 | Serneka Stevenson | Nurse Practitioner | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2019-02-04 |
| 1538643697 | Zachary Dylan Lamkin | Podiatrist | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2018-09-24 |
| 1427542190 | Brittney R Furca | Nurse Anesthetist, Certified Registered | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2018-06-18 |
| 1497249288 | Rachel Rome | Nurse Anesthetist, Certified Registered | 4200 Houma Blvd, Metairie, LA 70006 | 2018-06-15 |
| 1871095174 | University Healthcare System, L.c. | Rehabilitation Unit | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2018-03-02 |
| 1598267890 | University Healthcare System, L.c. | Skilled Nursing Facility | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2018-03-02 |
| 1619479912 | University Healthcare System, L.c. | Psychiatric Unit | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2018-03-02 |
| 1477060242 | Christopher Buchart | Nurse Anesthetist, Certified Registered | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2018-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| 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 |
|---|---|---|---|---|
| 1811397656 | Walmart Pharmacy | Pharmacist | 8912 Veterans Blvd, Metairie, LA 70003 | 2014-08-29 |
| 1417256942 | Cody Allison | Pharmacist | 115 Glenwood Dr, Metairie, LA 70005-3911 | 2011-03-23 |
| 1679888986 | Iisha Kahzan Bailey | Pharmacist | 4300 W Esplanade Ave, Metairie, LA 70006-2918 | 2010-08-11 |
| 1174833438 | Daughters of Charity Services of New Orleans | Pharmacist | 111 N Causeway Blvd, Metairie, LA 70001-5450 | 2010-10-20 |
| 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 |
| 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 |
| 1972802080 | Itzel Harriott | Pharmacist | 41077 Adelle Dr, Hammond, LA 70403-7538 | 2011-03-15 |
| 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.