MEDICATION MANAGEMENT CONSULTANTS LLC (NPI# 1952957557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952957557 |
| Entity Type | Organization |
| Organization Name | MEDICATION MANAGEMENT CONSULTANTS LLC |
| Practice Address |
318 Bevly Lake Dr Bossier City LA 71111-5174 |
| Practice Telephone | 3183314466 |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2019-08-11 |
| Authorized Official Name | TIFFANY UPSHAW (OWNER) |
| Authorized Official Telephone | 3183314466 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| Medication Management Consultants | Doing Business As Name - Organization |
| Street Address |
318 BEVLY LAKE DR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-5174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| 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 |
|---|---|---|---|---|
| 1073823449 | Mia Ajekwu Bassaragh | Pharmacist | 3400 Airline Dr., Bossier City, LA 71111 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1417256942 | Cody Allison | Pharmacist | 115 Glenwood Dr, Metairie, LA 70005-3911 | 2011-03-23 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on MEDICATION MANAGEMENT CONSULTANTS LLC.
| 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.