TEWELDE'S LAFITTE DRUGS (NPI# 1992852636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992852636 |
Entity Type | Organization |
Organization Name | TEWELDE'S LAFITTE DRUGS |
Practice Address |
2695 Jean Lafitte Blvd Lafitte LA 70067 |
Mailing Address |
Po Box 10 Lafitte LA 70067-0010 |
Practice Telephone | 5046894122 |
Practice Fax Number | 5046894125 |
Mailing Telephone | 5046894122 |
Mailing Fax Number | 5046894125 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. TADDESE TEWELDE (OWNER PHARMACIST) |
Authorized Official Telephone | 5046894122 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 11262 | LA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1252875 | 05 | |
LA | NABP | 1913171 | 01 |
Street Address |
2695 JEAN LAFITTE BLVD |
City | LAFITTE |
State | LA |
Zip Code | 70067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386276327 | Courtney Leigh Pellegrin | Specialist/Technologist | 533 Mathew St, Lafitte, LA 70067-5117 | 2020-02-07 |
1962921106 | Eric Giesemann | Emergency Medicine | 2529 Jean Lafitte Blvd, Lafitte, LA 70067-5203 | 2017-09-19 |
1326467622 | Jan W Johnson | Dietitian, Registered | 5278 Church St, Lafitte, LA 70067-5224 | 2014-04-15 |
1356337778 | Quynh T Lu-lewis | Family Medicine | 5140 Church St, Suite 100, Lafitte, LA 70067-5256 | 2005-09-21 |
1528483849 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2014-02-24 |
1467794511 | Elizabeth Ponder | Dentist | 5140 Church St, Lafitte, LA 70067-5256 | 2013-03-26 |
1467792713 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2013-02-25 |
1831266162 | West Jefferson Physician Services | Family Medicine | 5140 Church St, Lafitte, LA 70067-5256 | 2006-11-30 |
1366851651 | Hilarie Frickey | Pharmacist | 5696 Jean Lafitte Blvd, Lafitte, LA 70067-5506 | 2014-08-12 |
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 |
---|---|---|---|---|
1366851651 | Hilarie Frickey | Pharmacist | 5696 Jean Lafitte Blvd, Lafitte, LA 70067-5506 | 2014-08-12 |
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 |
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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.