MICHAEL CROCKETT (NPI# 1710389028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710389028 |
| Entity Type | Individual |
| Full Name | MICHAEL CROCKETT |
| Credential | RPH. |
| Practice Address |
6225 Coliseum Blvd Alexandria LA 71303-3721 |
| Practice Telephone | 3184484841 |
| Mailing Telephone | 3184484841 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15926 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053335950 | Michael Crockett | Dentist | 31 S 63rd St, Suite 5, Mesa, AZ 85206-1606 | 2006-07-26 |
| 1699718403 | Michael G Crockett | Physical Therapist | 2921 S Frontage Rd Ste 2, Moorhead, MN 56560-2571 | 2006-06-13 |
| 1780074807 | Michael Crockett | Psychologist | 510 Sw 3rd Ave Ste 200, Portland, OR 97204-2507 | 2015-01-27 |
| 1235224825 | Michael Allan Crockett | Nurse Anesthetist, Certified Registered | 14 Prospect St., Milford, MA 01757 | 2006-10-03 |
| Street Address |
6225 COLISEUM BLVD |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922284355 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6225 Coliseum Blvd, Alexandria, LA 71303-3980 | 2008-01-16 |
| 1750980942 | Taylor L Ashworth | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3980 | 2020-10-20 |
| 1194333526 | John Auhai Nguyen | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3980 | 2020-07-22 |
| 1225439102 | Randy Dauzat | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3721 | 2014-09-10 |
| 1336549641 | Mark Dubroc | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3721 | 2014-08-25 |
| 1285033548 | Vinh Van Le | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3721 | 2014-08-22 |
| 1184023491 | Gregory Hackney | Pharmacist | 6225 Coliseum Blvd, Alexandria, LA 71303-3721 | 2014-08-22 |
| 1215102082 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 6225 Coliseum Blvd, Alexandria, LA 71303 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| 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 |
|---|---|---|---|---|
| 1073122453 | Tsion Tafesse | Pharmacist | 250 S Van Dorn St Apt N415, Alexandria, VA 22304-4367 | 2020-07-30 |
| 1871136754 | Lily Dessalegn | Pharmacist | 6040 Richmond Hwy Apt 715, Alexandria, VA 22303-2132 | 2019-10-23 |
| 1124597802 | Kendrick Rashon Hunter | Pharmacist | 2050 North Mall Drive, Alexandria, LA 71301-3619 | 2018-11-25 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1285123794 | Habtamu Yilma Worku | Pharmacist | 5055 Seminary Rd Apt 521, Alexandria, VA 22311-2008 | 2018-05-10 |
| 1992257117 | Yodit Gulelat | Pharmacist | 7126 Lake Cove Dr, Alexandria, VA 22315-4221 | 2016-11-04 |
| 1598210668 | Tram Tran | Pharmacist | 5957 Manorview Way, Alexandria, VA 22315-5595 | 2016-08-18 |
| 1639535735 | Kathleen Riley | Pharmacist | 7660 Richmond Hwy, Alexandria, VA 22306-2843 | 2016-01-06 |
| 1649641549 | Daniel Lutu | Pharmacist | 6324 Gentele Ct, Alexandria, VA 22310-3110 | 2015-10-18 |
| 1285002568 | Quynh Nguyen | Pharmacist | 1411 Horseshoe Dr, Alexandria, LA 71301-2720 | 2015-09-03 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on MICHAEL CROCKETT.
| 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.