MR. JOHN SCOTT BLAKE (NPI# 1760874135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760874135 |
| Entity Type | Individual |
| Full Name | MR. JOHN SCOTT BLAKE |
| Credential | RPH |
| Practice Address |
624 Texas St Apt 403 Shreveport LA 71101-3553 |
| Practice Telephone | 3187376999 |
| Mailing Telephone | 3187376999 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
014100 | LA | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
30004 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780726570 | John A Blake | Physician Assistant | 712 Village Rd Sw Ste 104, Shallotte, NC 28470-3449 | 2007-02-12 |
| 1982705877 | John Robert Blake | Psychiatry & Neurology | 170 Cold Soil Rd, Princeton, NJ 08540-4202 | 2006-09-26 |
| 1447220363 | John R Blake Jr. | Family Medicine | 4306 Asheville Hwy, Knoxville, TN 37914-3601 | 2006-01-24 |
| 1598039729 | John Robert Blake | Pharmacist | 929 Nw Garden Valley Blvd, Roseburg, OR 97471-6508 | 2012-03-06 |
| 1497938096 | John Blake | Nurse Practitioner | 2605 W Swann Ave, Ste 600, Tampa, FL 33609-4039 | 2007-12-06 |
| 1629290689 | John Everett Blake IIi | Anesthesiology | 281 N. Lyerly St., Suite 200, Chattanooga, TN 37404 | 2007-05-02 |
| 1861510570 | John L. Blake | Dentist | 455 E Columbia St, Long Beach, CA 90806-1620 | 2007-03-27 |
| 1114058401 | John Scott Blake | Physical Therapy Assistant | 501 E Main St, Waynesboro Hospital - Physical Medicine Department, Waynesboro, PA 17268-2353 | 2007-03-08 |
| 1184785149 | John Paul Blake I | Psychiatry & Neurology | 211 S Centennial St, High Point, NC 27260-5215 | 2006-12-13 |
| 1740364199 | John P Blake | Dentist | 1251 S Lapeer Rd, Suite 201, Lake Orion, MI 48360-1414 | 2006-10-24 |
| Street Address |
624 TEXAS ST APT 403 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
|---|---|---|---|---|
| 1457829756 | Cornelia Greene | Pharmacist | 9209 Mansfield Rd, Shreveport, LA 71118-3152 | 2018-11-05 |
| 1427508456 | Edward Glenn Bernatowicz | Pharmacist | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2016-10-13 |
| 1174878557 | Candace Michelle El-shaer | Pharmacist | 9250 Mansfield Rd, Shreveport, LA 71118-3125 | 2012-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952957557 | Medication Management Consultants LLC | Pharmacist | 318 Bevly Lake Dr, Bossier City, LA 71111-5174 | 2019-08-11 |
| 1801395108 | Pharmdready, LLC | Pharmacist | 1921 Oak Creek Rd Apt 237, River Ridge, LA 70123-5870 | 2018-02-02 |
| 1609241587 | Wagih Sous | Pharmacist | 4283 Carter St., Vidalia, LA 71373 | 2015-12-03 |
| 1790158426 | Kady Eschete | Pharmacist | 114 Bayou Bend Dr, Houma, LA 70364-1101 | 2015-11-03 |
| 1811397656 | Walmart Pharmacy | Pharmacist | 8912 Veterans Blvd, Metairie, LA 70003 | 2014-08-29 |
| 1700285855 | Sam Grizzaffi | Pharmacist | 3224 Lake Palourde Dr, Morgan City, LA 70380-1563 | 2014-08-14 |
| 1992080741 | John Michael Pollard | Pharmacist | 8155 Highway 165, Columbia, LA 71418-4341 | 2011-10-12 |
| 1700169463 | Leslie Richard Carr | Pharmacist | 5840 Brookflower Circle Ln, Lake Charles, LA 70605-0293 | 2011-09-20 |
| 1700175734 | Timothy James Moten | Pharmacist | 114 Gause, Slidell, LA 70460 | 2011-03-30 |
| 1417256942 | Cody Allison | Pharmacist | 115 Glenwood Dr, Metairie, LA 70005-3911 | 2011-03-23 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MR. JOHN SCOTT BLAKE.
| 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.