RENEE MICHELLE VIDRINE (NPI# 1013426634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013426634 |
| Entity Type | Individual |
| Full Name | RENEE MICHELLE VIDRINE |
| Credential | PHARMD |
| Practice Address |
6300 Main St Zachary LA 70791-4037 |
| Mailing Address |
1630 Rue Du Belier Apt 2610 Lafayette LA 70506-6572 |
| Practice Telephone | 2256584000 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 021338 | LA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 411 Oak St, Cincinnati, OH 452192504 | 5139841800 | 5139844909 |
| Street Address |
6300 MAIN ST |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225025802 | Hospital Service District #1 of East Baton Rouge Parish | Nursing Facility/Intermediate Care Facility | 6300 Main St, Zachary, LA 70791-4037 | 2005-09-29 |
| 1285242347 | Lane Senior Care LLC | Skilled Nursing Facility | 6300 Main St, Zachary, LA 70791-4037 | 2020-07-15 |
| 1972155851 | Valerie E Daire | Physician Assistant | 6300 Main St, Zachary, LA 70791-4037 | 2019-07-11 |
| 1255894952 | East Baton Rouge Emergency Physicians Group, LLC | Emergency Medicine | 6300 Main St, Zachary, LA 70791-4037 | 2019-04-09 |
| 1326557406 | Jacob Lane Guichet | Pharmacist | 6300 Main St, Zachary, LA 70791-4037 | 2017-09-21 |
| 1023530136 | Taylor Murphy | Physician Assistant | 6300 Main St, Zachary, LA 70791-4037 | 2017-07-10 |
| 1851711360 | James Oliver Moore Jr. | Family Medicine | 6300 Main St, Zachary, LA 70791-4037 | 2014-04-23 |
| 1164765285 | Madeleine Trang Nguyen | Family Medicine | 6300 Main St, Zachary, LA 70791-3627 | 2013-03-27 |
| 1255698247 | Ross David Daray | Personal Emergency Response Attendant | 6300 Main St, Zachary, LA 70791-4037 | 2012-04-16 |
| 1740555358 | Richard E. Davis | Nurse Practitioner | 6300 Main St, Zachary, LA 70791-4037 | 2012-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| 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 |
|---|---|---|---|---|
| 1043753791 | Dawson Garrett Delee | Pharmacist | 23179 General Gardner Ln, Zachary, LA 70791-6121 | 2016-11-29 |
| 1073922035 | Terreca Taylor | Pharmacist | 3848 Lee St, Zachary, LA 70791-3814 | 2014-08-04 |
| 1902248081 | Duy Nguyen | Pharmacist | 5064 Main St, Zachary, LA 70791 | 2013-07-18 |
| 1538299748 | Jewelean S Wells | Pharmacist | 5005 Church St, Zachary, LA 70791-3511 | 2007-03-06 |
| 1477169290 | Sarah Capps Anders | Pharmacist | 2250 Church St, Zachary, LA 70791-2707 | 2020-09-17 |
| 1235618307 | John Dry | Pharmacist | 4344 Church St, Zachary, LA 70791 | 2018-08-09 |
| 1801344106 | David Morris Jones IIi | Pharmacist | 5801 Main St, Zachary, LA 70791-4028 | 2016-09-14 |
| 1508311549 | Collin John Stagg | Pharmacist | 2250 Church St, Zachary, LA 70791-2707 | 2016-08-19 |
| 1942677786 | Josiah Howell | Pharmacist | 2250 Church St, Zachary, LA 70791-2707 | 2015-08-27 |
| 1306246780 | John Ray James | Pharmacist | 5801 Main St, Zachary, LA 70791-4028 | 2014-09-04 |
| Find all providers in ZACHARY | ||||
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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.