KALEB R. HANSON (NPI# 1124679311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124679311 |
| Entity Type | Individual |
| Full Name | KALEB R. HANSON |
| Credential | PHARMD |
| Practice Address |
4918 Barksdale Blvd Bossier City LA 71112-4555 |
| Practice Telephone | 3185492107 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PST.023105 | LA | Pharmacy Service Providers |
| Street Address |
4918 BARKSDALE BLVD |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71112-4555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932272267 | Brookshire Grocery Company | Pharmacy | 4918 Barksdale Blvd, Attention Pharmacy Dept, Bossier City, LA 71112-4555 | 2006-11-16 |
| 1821425422 | Marilyn Sampognaro Bertrand | Pharmacist | 4918 Barksdale Blvd, Bossier City, LA 71112-4555 | 2013-09-27 |
| 1124453832 | Shawn Michael Manor | Pharmacist | 4918 Barksdale Blvd, Bossier City, LA 71112-4555 | 2013-09-12 |
| 1215296538 | Frank Joseph Petitto Jr. | Pharmacist | 4918 Barksdale Blvd, Bossier City, LA 71112-4555 | 2012-05-07 |
| 1184908147 | John Orlando | Pharmacist | 4918 Barksdale Blvd, Bossier City, LA 71112-4555 | 2011-10-07 |
| 1427354281 | Rachel Hunter | Pharmacist | 4918 Barksdale Blvd, Bossier City, LA 71112-4555 | 2011-01-26 |
| 1508173774 | Ronda Jeannette Dietzel | Pharmacist | 4918 Barksdale Blvd, Bossier City, LA 71112-4555 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810349 | Brittany Ariel Boone | Case Manager/Care Coordinator | 2323 Old Minden Rd Ste 500, Bossier City, LA 71112 | 2018-05-03 |
| 1396254520 | Abartllc | Non-emergency Medical Transport (VAN) | 400 John Wesley Blvd Apt 195, Bossier City, LA 71112 | 2017-09-19 |
| 1124547708 | Kendra Webster | Counselor | 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 | 2017-09-14 |
| 1851818009 | Latonya Renee' Williams | Case Manager/Care Coordinator | 5383 Bluebell Dr, Bossier City, LA 71112 | 2017-08-28 |
| 1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
| 1861925240 | Kyanna Williams Cosby | Counselor | 4009 Parkway Dr, Bossier City, LA 71112 | 2017-04-04 |
| 1962858191 | Jemeel Latrice Webb | Case Manager/Care Coordinator | 1787 Southview Drive, Bossier City, LA 71112 | 2016-05-06 |
| 1174986244 | Jaquitua Russell | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 1, Bossier City, LA 71112 | 2016-04-05 |
| 1528423175 | Deanna Lorraine Edwards | Contractor | 4007 Parkway Dr, Bossier City, LA 71112 | 2015-12-28 |
| 1700258605 | Derrick Thomas | Counselor | 2601 Hoyer St, Bossier City, LA 71112 | 2015-10-30 |
| Find all providers in zip 71112 | ||||
| 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 |
|---|---|---|---|---|
| 1285260406 | Alexis Bell | Pharmacist | 4870 Airline Dr, Bossier City, LA 71111-6609 | 2020-03-19 |
| 1659826964 | Ashley Walker | Pharmacist | 3136 Shed Rd, Bossier City, LA 71111-3151 | 2016-08-17 |
| 1689046583 | Cristopher Leblanc | Pharmacist | 4000 Barksdale Boulevard, Bossier City, LA 71112-3902 | 2015-10-30 |
| 1336545334 | Karen Wells | Pharmacist | 3121 E. Texas St, Bossier City, LA 71111 | 2014-11-18 |
| 1700216785 | Brenda Ann Yonnes | Pharmacist | 2904 Kirk Ln, Bossier City, LA 71112-2732 | 2013-11-12 |
| 1902235526 | Ed Thomason | Pharmacist | 2850 Valkyrie Dr, Bossier City, LA 71111-2094 | 2013-11-04 |
| 1437587342 | Kirsten Palmer | Pharmacist | 5590 Barksdale Blvd, Bossier City, LA 71112-8703 | 2013-10-31 |
| 1699101659 | Nnabugo Darlington Ukpaka | Pharmacist | 712 Hunter Xing, Bossier City, LA 71111-8133 | 2013-09-23 |
| 1669806725 | Timothy Joseph Doherty | Pharmacist | 801 Benton Rd, Bossier City, LA 71111-3743 | 2013-08-26 |
| 1154673911 | Melodee Melohn | Pharmacist | 3121 E Texas St, Bossier City, LA 71111-3209 | 2012-10-03 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71112 |
Please comment or provide details below to improve the information on KALEB R. HANSON.
| 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.