INDYA BRUCE (NPI# 1720636798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720636798 |
| Entity Type | Individual |
| Full Name | INDYA BRUCE |
| Practice Address |
14360 Wax Rd Baton Rouge LA 70818-4279 |
| Mailing Address |
10201 Park Rowe Ave Apt 2319 Baton Rouge LA 70810-2295 |
| Practice Telephone | 2252616541 |
| Mailing Telephone | 5043380589 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 023127 | LA | Pharmacy Service Providers |
| Street Address |
14360 WAX RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70818-4279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700980646 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14360 Wax Rd, Baton Rouge, LA 70818-4279 | 2006-09-12 |
| 1790294882 | Renee Angelus | Pharmacist | 14360 Wax Rd, Baton Rouge, LA 70818-4279 | 2017-09-21 |
| 1548678469 | Dawn Melancon | Nurse Practitioner | 14360 Wax Rd, Baton Rouge, LA 70818-4279 | 2014-07-23 |
| 1346672748 | Sherletha Monique Nelson | Nurse Practitioner | 14360 Wax Rd, Baton Rouge, LA 70818-4279 | 2013-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508385576 | Stacia Clay | Driver | 8210 Brennen Drive, Baton Rouge, LA 70818 | 2017-09-11 |
| 1952650376 | Tara Rispone Delee | Social Worker | 12249 Hooper Road, Baton Rouge, LA 70818 | 2012-08-30 |
| 1417231705 | Cyril Floyd Broussard | Pharmacist | 14360 Wax Rd., Central, LA 70818 | 2011-10-05 |
| 1972887263 | Charles Erwin Seymour | Pharmacist | 14360 Wax Road, Central, LA 70818 | 2011-10-05 |
| 1306146089 | Central Chiropractic Center, Inc. | Preferred Provider Organization | 8755 Sullivan Road, Suite A, Central, LA 70818 | 2010-10-27 |
| 1649596321 | Fast Lane of Central LLC | Clinic/Center | 11421 Sullivan Rd, Bldg B, Baton Rouge, LA 70818 | 2010-04-20 |
| 1992837710 | James H Hebert | Dentist | 11424 Sullivan Road, Suite A, Baton Rouge, LA 70818 | 2007-03-09 |
| 1235295221 | Walter Jules Vaughan | Dentist | 13323 Hooper Rd., Baton Rouge, LA 70818 | 2006-12-28 |
| 1245329325 | Melissa R Barrett | Emergency Medicine | 11055 Shoe Creek Dr, Baton Rouge, LA 70818 | 2006-10-12 |
| 1740208867 | Michael Romaguera | Family Medicine | 11055 Shoe Creek Drive, Baton Rouge, LA 70818 | 2006-07-17 |
| Find all providers in zip 70818 | ||||
| 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 |
|---|---|---|---|---|
| 1578185229 | Erin Hannah Morgan | Pharmacist | 17050 Medical Center Dr Fl 1, Baton Rouge, LA 70816-3221 | 2020-05-15 |
| 1336791458 | Kacie Marie Watson | Pharmacist | 100 Womans Way Ste Ssb1, Baton Rouge, LA 70817-5100 | 2019-07-09 |
| 1639610785 | Amy Douglass | Pharmacist | 9026 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2432 | 2017-03-09 |
| 1598209504 | Toni Davis Scott | Pharmacist | North Stadium Drive, Baton Rouge, LA 70808 | 2016-12-09 |
| 1538617097 | Loan Nguyen | Pharmacist | 1315 N Cicero Ave, Baton Rouge, LA 70816-1856 | 2016-09-14 |
| 1306200308 | Richard Bienvenu | Pharmacist | 6765 Corporate Blvd, Apt 9209, Baton Rouge, LA 70809-1061 | 2016-04-06 |
| 1114390127 | Anne Minh-anh Tran | Pharmacist | 1628 Campden Dr, Baton Rouge, LA 70810-3599 | 2015-11-12 |
| 1477920452 | Brittney Johnson | Pharmacist | 12629 E Robin Hood Dr, Baton Rouge, LA 70815-6639 | 2015-08-26 |
| 1578930566 | Cally Marie Newsom | Pharmacist | 5500 Perkins Rd Apt 3111, Baton Rouge, LA 70808-4105 | 2015-08-26 |
| 1760858955 | Lauren Mcneill | Pharmacist | 5555 Essen Ln Ste C, Baton Rouge, LA 70809-3566 | 2015-08-11 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70818 |
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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.