ELIZABETH BLACKWELL (NPI# 1750632808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750632808 |
| Entity Type | Individual |
| Full Name | ELIZABETH BLACKWELL |
| Practice Address |
727 N Washington St Bastrop LA 71220-3003 |
| Practice Telephone | 3182835102 |
| Practice Fax Number | 3182813975 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1887 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037016 | Elizabeth Louise Blackwell | Speech-Language Pathologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-05-01 |
| 1467924720 | Elizabeth Renee Blackwell | Physical Therapist | 3700 Cross Park Dr, Bryan, TX 77802-4137 | 2018-12-27 |
| 1497136709 | Elizabeth Blackwell | Behavioral Analyst | 6746 Valjean Ave Ste 102, Van Nuys, CA 91406-5851 | 2015-06-11 |
| 1902041486 | Elizabeth Stevens Blackwell | Pharmacist | 140 Roxboro Rd, Oxford, NC 27565-2642 | 2008-12-11 |
| 1598949786 | Elizabeth K Blackwell | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| Street Address |
727 N WASHINGTON ST |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972623452 | Robert E Adams Jr. | Pharmacist | 727 N Washington St, Bastrop, LA 71220-3003 | 2007-03-30 |
| 1871946970 | Steven Darden | Pharmacist | 727 N Washington St, Bastrop, LA 71220-3003 | 2016-07-13 |
| 1568843415 | Beverly Cureington Jones | Pharmacist | 727 N Washington St, Bastrop, LA 71220-3003 | 2015-06-16 |
| 1184903726 | Shelby A Hebert | Pharmacist | 727 N Washington St, Bastrop, LA 71220-3003 | 2011-08-14 |
| 1548559792 | Paul Clayton Taylor | Pharmacist | 727 N Washington St, Bastrop, LA 71220-3003 | 2011-03-28 |
| 1962701953 | Sharon Marie Korn | Pharmacist | 727 N Washington St, Bastrop, LA 71220-3003 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| 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 |
|---|---|---|---|---|
| 1477025815 | Anna Slavinsky | Pharmacist | 504 State Highway 71 W, Bastrop, TX 78602 | 2018-12-26 |
| 1760981971 | Lisa Nicole Calliham | Pharmacist | 1009 Pecan St, Bastrop, TX 78602-3220 | 2018-02-03 |
| 1437564564 | Eva Ghaedi | Pharmacist | 6091 Mer Rouge Rd, Bastrop, LA 71220-6709 | 2014-06-26 |
| 1972870970 | Kyle Ryan Grimslid | Pharmacist | 4201 Hwy71 E, Bastrop, TX 78602 | 2011-11-19 |
| 1164742235 | Tracie Poe Kadura | Pharmacist | 104 N Hasler Blvd, Bastrop, TX 78602-3740 | 2010-06-10 |
| 1265761514 | Kyoung Lee | Pharmacist | 504 State Hwy 71 W, Bastrop, TX 78602 | 2009-12-16 |
| 1568791838 | Dan White | Pharmacist | 504 West Highway 71, Bastrop, TX 78602 | 2009-12-16 |
| 1275862617 | Jacquelyn Ann May | Pharmacist | 504 W Hwy 71, Bastrop, TX 78602-3735 | 2009-12-14 |
| 1902135759 | Tracey Ortega | Pharmacist | 504 Highway 71 W, Bastrop, TX 78602-3735 | 2009-12-08 |
| 1659543254 | Angela Orr Collins | Pharmacist | 2017 E Madison Ave, Bastrop, LA 71220-4070 | 2008-03-24 |
| Find all providers in BASTROP | ||||
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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.