CORDESE SHAW JOLIVETTE (NPI# 1699078394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699078394 |
| Entity Type | Individual |
| Full Name | CORDESE SHAW JOLIVETTE |
| Credential | PHARMD |
| Practice Address |
3414 Moss St Ste C Lafayette LA 70507-6107 |
| Practice Telephone | 3375923178 |
| Enumeration Date | 2010-12-19 |
| Last Update Date | 2010-12-19 |
| 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 |
018407 | LA | Pharmacy Service Providers |
| Street Address |
3414 MOSS ST STE C |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| 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 |
|---|---|---|---|---|
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1245849611 | Veronica Disher | Pharmacist | 2200 Greenbush St, Lafayette, IN 47904-2342 | 2020-07-30 |
| 1396362943 | Bryce R Burkhart | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-06-30 |
| 1306483169 | Jessica Heathcote | Pharmacist | 65 Beck Ln, Lafayette, IN 47909-2836 | 2019-11-28 |
| 1225509292 | Jarred Bowden | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-12-16 |
| 1598230351 | Christopher Farmer | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-10-09 |
| 1194129197 | Jennifer Slavens | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2014-10-20 |
| 1114356318 | Blair Elaine Maxwell | Pharmacist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2013-11-07 |
| 1922238955 | Paul Shaw | Pharmacist | 280 Exempla Cir, Rock Creek Medical Offices - Kpco Dept of Pharmacy, Lafayette, CO 80026-3370 | 2009-07-24 |
| 1215192711 | Robert Matthew Trujillo | Pharmacist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2008-07-23 |
| Find all providers in LAFAYETTE | ||||
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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.