DR. NICOLE THERESA FABRE-LACOSTE (NPI# 1114176930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114176930 |
| Entity Type | Individual |
| Full Name | DR. NICOLE THERESA FABRE-LACOSTE |
| Credential | PHARM.D. |
| Practice Address |
977 N Carrollton Ave New Orleans LA 70119-3741 |
| Practice Telephone | 5044864613 |
| Practice Fax Number | 5048425473 |
| Mailing Telephone | 5044864613 |
| Mailing Fax Number | 5048425473 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
16013 | LA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
16013 | LA | Pharmacy Service Providers |
| Street Address |
977 N CARROLLTON AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-3741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| 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 |
|---|---|---|---|---|
| 1336794221 | Bailey Wise | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2019-08-07 |
| 1184279515 | Ushma Patel Kaszubski | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2019-08-02 |
| 1811468069 | Katerina Stanilova | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2018-12-16 |
| 1407338387 | Eric Coons | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2018-09-06 |
| 1255826970 | Adrienne Mitchell Reed | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2018-06-25 |
| 1629580162 | Marissa Ann Janusek | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2017-10-24 |
| 1871004317 | Ashley Casey | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2017-10-23 |
| 1144678053 | Taraya Gerard | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2016-06-01 |
| 1073919403 | Jonn Bailey | Pharmacist | 5640 Read Blvd, New Orleans, LA 70127-3140 | 2014-11-12 |
| 1114274099 | Justin Michael Ritter | Pharmacist | 1415 Tulane Ave Ste 2cw07, New Orleans, LA 70112-2600 | 2012-08-09 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
Please comment or provide details below to improve the information on DR. NICOLE THERESA FABRE-LACOSTE.
| 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.