KYLE GARDNER (NPI# 1023417151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023417151 |
| Entity Type | Individual |
| Full Name | KYLE GARDNER |
| Credential | PHARM. D. |
| Practice Address |
2500 North Highway 171 Lake Charles LA 70601 |
| Practice Telephone | 3374300249 |
| Practice Fax Number | 3374300367 |
| Mailing Telephone | 3374300249 |
| Mailing Fax Number | 3374300367 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 018199 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013187525 | Kyle Andrews Gardner | Emergency Medicine | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2008-03-11 |
| 1528625407 | Kyle Gardner | Chiropractor | 4316 James Casey St, Austin, TX 78745-1116 | 2019-05-25 |
| 1982957957 | Kyle Gardner | Speech-Language Pathologist | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2012-10-16 |
| 1922123678 | Kyle Gardner | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-03-20 |
| Street Address |
2500 NORTH HIGHWAY 171 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1407308034 | Madeline Landry | Pharmacist | 3731 Inwood Dr, Lake Charles, LA 70605-6770 | 2016-10-31 |
| 1376099143 | Jessica Pete | Pharmacist | 2818 Barb Ln, Lake Charles, LA 70607-7645 | 2016-08-31 |
| 1225498306 | Raven Rachelle Miranda | Pharmacist | 6031 Nelson Rd, Lake Charles, LA 70605-0468 | 2016-03-02 |
| 1386018661 | Joseph Tchani | Pharmacist | 1605 Whispering Woods Dr, Lake Charles, LA 70605-1300 | 2015-11-24 |
| 1861878803 | Chelsey Trammell | Pharmacist | 2000 Gerstner Memorial Dr, Lake Charles, LA 70601 | 2015-07-31 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1417356544 | Scott Labiche | Pharmacist | 3415 Highway 14, Lake Charles, LA 70607-2147 | 2014-08-14 |
| 1598188443 | Lores Roeder | Pharmacist | 5721 Alder St, Lake Charles, LA 70605-0496 | 2014-01-29 |
| 1508290768 | Shanna Tiffany Simon | Pharmacist | 899 N Highway 171, Lake Charles, LA 70611-5034 | 2013-08-23 |
| 1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on KYLE GARDNER.
| 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.