ELMO CHARLES GAUTREAUX (NPI# 1750677126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750677126 |
| Entity Type | Individual |
| Full Name | ELMO CHARLES GAUTREAUX |
| Credential | PHARMACIST |
| Practice Address |
13998 W Main St Larose LA 70373-3009 |
| Practice Telephone | 9856938662 |
| Practice Fax Number | 9856938867 |
| Mailing Telephone | 9856938662 |
| Mailing Fax Number | 9856938867 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8978 | LA | Pharmacy Service Providers |
| Street Address |
13998 W MAIN ST |
| City | LAROSE |
| State | LA |
| Zip Code | 70373-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619494234 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13998 W Main St, Larose, LA 70373 | 2017-08-24 |
| 1114442209 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13998 W Main St, Larose, LA 70373-3009 | 2017-08-09 |
| 1003175795 | Trang Tran | Pharmacist | 13998 W Main St, Larose, LA 70373 | 2012-05-15 |
| 1396021226 | Desirae Elizabeth Barrios | Pharmacist | 13998 W Main St, Larose, LA 70373-3009 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063968295 | Sabrina Hagar | Pharmacist | 13998 W Main Street, Larose, LA 70373 | 2016-08-28 |
| 1801028154 | Travis Paul Toups | Physical Therapist | 13554 Highway 3235, Ste B, Larose, LA 70373 | 2009-08-20 |
| 1518180322 | Christine Miller Cedotal | Physical Therapist | 11109 Hwy. 308, Larose, LA 70373 | 2007-04-10 |
| 1619455037 | Sleep Better Louisiana, LLC | Dentist | 13373 Highway 3235, Larose, LA 70373 | 2018-07-30 |
| 1164697033 | Kellie Hebert | Occupational Therapist | 13343 West Main Street, Larose, LA 70373 | 2008-04-23 |
| 1447425319 | Angelle Curole | Specialist/Technologist | 13343 West Main Street, Larose, LA 70373 | 2008-04-23 |
| 1447425335 | Shana Matherne | Occupational Therapy Assistant | 13343 West Main Street, Larose, LA 70373 | 2008-04-23 |
| 1740464973 | Therex | Speech-Language Pathologist | 13343 West Main Street, Larose, LA 70373 | 2007-12-24 |
| 1740485754 | Jay Vega Md.,a.p.m.c. | Clinic/Center | 13030 Highway 308, Larose, LA 70373 | 2007-06-19 |
| 1790996452 | Jennifer Guidry | Physical Therapist | 13343 West Main Street, Larose, LA 70373 | 2007-05-24 |
| Find all providers in zip 70373 | ||||
| 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 |
|---|---|---|---|---|
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1063968295 | Sabrina Hagar | Pharmacist | 13998 W Main Street, Larose, LA 70373 | 2016-08-28 |
| 1043680242 | Harold Walker | Pharmacist | 13086 Highway 3235, Larose, LA 70373-2552 | 2015-09-30 |
| 1003175795 | Trang Tran | Pharmacist | 13998 W Main St, Larose, LA 70373 | 2012-05-15 |
| 1396021226 | Desirae Elizabeth Barrios | Pharmacist | 13998 W Main St, Larose, LA 70373-3009 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729734 | Devin K Richardson | Pharmacist | 113 Sam Dr, West Monroe, LA 71291-6978 | 2020-11-01 |
| 1194324830 | Shane A Tatman | Pharmacist | 216 Christie Lea Dr, Opelousas, LA 70570-6804 | 2020-10-23 |
| 1306443932 | Nancy Odom | Pharmacist | 814 Fortune Rd, Youngsville, LA 70592-5542 | 2020-10-06 |
| 1982211397 | Bradford Louis Morgan | Pharmacist | 9084 Ferry Creek Dr, Shreveport, LA 71106-8404 | 2020-09-29 |
| 1174139208 | Lauren Leblanc | Pharmacist | 2825 Grand Point Hwy Lot 9, Breaux Bridge, LA 70517-6972 | 2020-09-23 |
| 1306453451 | Benjamin Allbritton | Pharmacist | 1333 Coates Bluff Dr Apt 1324, Shreveport, LA 71104-2823 | 2020-09-23 |
| 1720693203 | Thu Nguyen Hoai Dinh | Pharmacist | 3636 Connecticut Ave, Kenner, LA 70065-3429 | 2020-09-11 |
| 1518571702 | Kiersten Rapp | Pharmacist | 1155 Magnolia Heights St, Vacherie, LA 70090-5504 | 2020-09-04 |
| 1376156711 | Brandy Gallow | Pharmacist | 17122 Airline Highway, Prairieville, LA 70769-3402 | 2020-08-25 |
| 1598376881 | Jessica Thiac Aucoin | Pharmacist | 16759 La-3235, Galliano, LA 70345 | 2020-08-11 |
| 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.