JENCARE NEIGHBORHOOD MEDICAL METAIRIE, LLC (NPI# 1104341544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104341544 |
| Entity Type | Organization |
| Organization Name | JENCARE NEIGHBORHOOD MEDICAL METAIRIE, LLC |
| Other Organization Name | JENCARE NEIGHBORHOOD MEDICAL METAIRIE#2 |
| Practice Address |
3530 Houma Boulevard Jencare Neighborhood Medical Metairie #2 Metairie LA 70006 |
| Mailing Address |
1395 N.w. 167th Street Miami Gardens FL 33169 |
| Practice Telephone | 3056286117 |
| Practice Fax Number | 3058314408 |
| Mailing Telephone | 3056286117 |
| Mailing Fax Number | 3058314408 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | GORDON L CHEN (OFFICER) |
| Authorized Official Telephone | 3056286117 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PMR LA HOLDING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 333600000X | Pharmacy | PHY.007546-IR | LA | Suppliers |
| Other Name | Type Code |
|---|---|
| JenCare Neighborhood Medical Metairie#2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184971871 | Jencare Neighborhood Medical Metairie, LLC | Non-Pharmacy Dispensing Site | 3625 Houma Blvd, Metairie, LA 70006-4229 | 2012-08-13 |
| Street Address |
3530 HOUMA BOULEVARD JENCARE NEIGHBORHOOD MEDICAL METAIRIE #2 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457803421 | Poole Dermatology, Apmc | Pharmacy | 111 Veterans Memorial Blvd Ste 406a, Metairie, LA 70005-3028 | 2016-10-26 |
| 1043554264 | All for Jen LLC | Pharmacy | 3848 Veterans Blvd Ste 103, Metairie, LA 70002 | 2012-11-15 |
| 1881954089 | Douglass and Morel Ventures, LLC | Pharmacy | 4305 Clearview Pkwy Ste B, Metairie, LA 70006-2762 | 2012-05-22 |
| 1245344225 | Giuffria Inc | Pharmacy | 3544 W Esplanade Ave S, Metairie, LA 70002-7130 | 2006-08-18 |
| 1326063975 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 3711 Power Blvd, Metairie, LA 70003-3446 | 2006-07-13 |
| 1699790246 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 2900 Veterans Hwy, Metairie, LA 70002 | 2006-07-13 |
| 1508881152 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 717 Clearview Pkwy, Metairie, LA 70001-4643 | 2006-07-13 |
| 1689675993 | Slaughter Drug Store | Pharmacy | 1805 Metairie Ave, Metairie, LA 70005-3860 | 2005-08-09 |
| 1285130385 | Metairie Health Mart LLC | Pharmacy | 3735 Airline Dr, Metairie, LA 70001-5836 | 2018-04-05 |
| 1912422270 | Galleria Medical Pharmacy LLC | Pharmacy | 3100 Galleria Dr, Metairie, LA 70001-2196 | 2017-08-08 |
| Find all providers in METAIRIE | ||||
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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.