ROBERT B VIDRINE BLAKES FAMILY PHARMACY (NPI# 1790827897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790827897 |
| Entity Type | Organization |
| Organization Name | ROBERT B VIDRINE BLAKES FAMILY PHARMACY |
| Other Organization Name | BLAKES FAMILY PHARMACY |
| Practice Address |
512 Mcarthur Dr. Ville Platte LA 70586-2906 |
| Mailing Address |
Po Box 348 512 Mc Arthur Dr Ville Platte LA 70586-0348 |
| Practice Telephone | 3373636252 |
| Practice Fax Number | 3373630477 |
| Mailing Telephone | 3373636252 |
| Mailing Fax Number | 3373630477 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | MR. ROBERT BLAKE VIDRINE (OWNER) |
| Authorized Official Telephone | 3373636252 |
| Authorized Official Credential | PD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10232 | LA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1204471 | 05 |
| Other Name | Type Code |
|---|---|
| Blakes Family Pharmacy | Other Name - Individual/Organization |
| Street Address |
512 MCARTHUR DR. |
| City | VILLE PLATTE |
| State | LA |
| Zip Code | 70586-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942155 | Clhg-ville Platte LLC | Clinic/Center | 804 E. Main Street, Ville Platte, LA 70586 | 2020-11-06 |
| 1134766785 | Wilbur Doucet | Non-emergency Medical Transport (VAN) | 710 North Stagg Street, The Same, Ville Platte, LA 70586 | 2019-12-03 |
| 1114578242 | Tara Mcclendon | Home Health Aide | 171 Prairiedale Ave, Ville Platte, LA 70586 | 2019-09-20 |
| 1205391646 | Joy Nicole Jodon | Case Manager/Care Coordinator | 2683 Vidrine Rd., Ville Platte, LA 70586 | 2019-02-08 |
| 1467921973 | Hulin Urgent Care Services, LLC | Clinic/Center | 804 E. Lasalle Street, Ville Platte, LA 70586 | 2018-11-14 |
| 1871073304 | Heinen Medical Clinics LLC | Clinic/Center | 825 W Lasalle St, Ville Platte, LA 70586 | 2018-08-15 |
| 1134633357 | Jamie Lynn Thomas | Case Manager/Care Coordinator | 1411 West Oak Alley, Ville Platte, LA 70586 | 2017-11-27 |
| 1447764667 | Jeanne Feucht Comeaux | Counselor | 420 Whispering Pine Ln, Ville Platte, LA 70586 | 2017-11-27 |
| 1164950879 | Michelle Allison | Counselor | 418 N Fontenot St, Ville Platte, LA 70586 | 2017-05-24 |
| 1033647813 | Denise Anderson | Counselor | 506 W Jefferson St, Ville Platte, LA 70586 | 2017-05-24 |
| Find all providers in zip 70586 | ||||
| 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 |
|---|---|---|---|---|
| 1376098897 | Garrett Mire | Pharmacist | 4049 Whiteville Rd, Ville Platte, LA 70586-7419 | 2016-08-25 |
| 1912306630 | Amber Rachelle Hall | Pharmacist | 891 East Lasalle Street, Ville Platte, LA 70586 | 2014-08-19 |
| 1619376811 | Robert Eastin Jr. | Pharmacist | 891 E Lasalle St, Ville Platte, LA 70586-4001 | 2014-08-14 |
| 1730437153 | Guy L. Soileau | Pharmacist | 137 Duffy Ln, Ville Platte, LA 70586-6000 | 2012-08-15 |
| 1417186073 | William Lynn Foret | Pharmacist | 168 Robert Ave, Ville Platte, LA 70586-1962 | 2009-07-03 |
| 1164565933 | Blakes Southside Pharmacy Phase II LLC | Pharmacist | 808 S. Chataignier Rd, Ville Platte, LA 70586 | 2007-02-14 |
| 1932509254 | Alaina Bischoff | Pharmacist | 1011 W Lincoln Rd, Ville Platte, LA 70586-3045 | 2014-08-25 |
| 1558663757 | Nicholas Lebas | Pharmacist | 10 W Main St, Ville Platte, LA 70586-4566 | 2010-11-22 |
| 1023327210 | Jana C Enicke | Pharmacist | 800 E Main St, Ville Platte, LA 70586-4618 | 2010-10-05 |
| 1639267529 | Harvey Bernard Lebas | Pharmacist | 10 W Main St, Ville Platte, LA 70586-4566 | 2006-10-10 |
| Find all providers in VILLE PLATTE | ||||
| City | VILLE PLATTE |
| Zip Code | 70586 |
Please comment or provide details below to improve the information on ROBERT B VIDRINE BLAKES FAMILY PHARMACY.
| 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.