DR. RUSTY PAUL MANUEL (NPI# 1922512235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922512235 |
Entity Type | Individual |
Full Name | DR. RUSTY PAUL MANUEL |
Credential | PHARM.D. |
Practice Address |
3330 Masonic Dr Alexandria LA 71301-3841 |
Mailing Address |
1464 Creosote Ln Mamou LA 70554-4753 |
Practice Telephone | 3184486785 |
Mailing Telephone | 3377891573 |
Enumeration Date | 2017-11-22 |
Last Update Date | 2017-11-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
18464 | LA | Pharmacy Service Providers |
Street Address |
3330 MASONIC DR |
City | ALEXANDRIA |
State | LA |
Zip Code | 71301-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548252760 | Linda M Paul | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2005-08-16 |
1457981292 | Elyse Leigh Poole | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-21 |
1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
1225674427 | Hospitalist Medicine Physicians of Louisiana - Shreveport, Inc. | Internal Medicine | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-11-22 |
1699317321 | Jacintha Nnadi | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-10-15 |
1548810617 | Catherine Cunningham Faucheaux | Counselor | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-19 |
1366091829 | Ashley Brazzell | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-08 |
1972158152 | Allison J Edwards | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-08-05 |
1548812829 | Jennifer Marie Murphy | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-07-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
Find all providers in zip 71301 |
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 |
---|---|---|---|---|
1295363984 | Vandorn Apothecary | Pharmacist | 5724 Edsall Rd, Alexandria, VA 22304-4712 | 2020-03-30 |
1437440831 | Michelle Erwine Mclaughlin | Pharmacist | 6018 Fort Hunt Rd, Alexandria, VA 22307-1203 | 2011-04-20 |
1710206537 | Christie S Cable | Pharmacist | 7100 Silver Lake Blvd, Alexandria, VA 22315-3200 | 2010-05-18 |
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 |
1760874135 | John Scott Blake | Pharmacist | 624 Texas St Apt 403, Shreveport, LA 71101-3553 | 2015-02-23 |
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 |
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City | ALEXANDRIA |
Zip Code | 71301 |
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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.