BREANNE FAIRBURN (NPI# 1134694144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134694144 |
| Entity Type | Individual |
| Full Name | BREANNE FAIRBURN |
| Other Name | BREANNE PETERS |
| Credential | PHARMD |
| Practice Address |
1900 Main St Franklinton LA 70438-3688 |
| Practice Telephone | 9857954116 |
| Practice Fax Number | 9857954227 |
| Mailing Telephone | 9857954116 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | E-010809 | MS | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PST.019246 | LA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MISSISSIPPI BOARD OF PHARMACY | E-010809 | 01 |
| LA | LOUISIANA BOARD OF PHARMACY | PST.019246 | 01 |
| Street Address |
1900 MAIN ST |
| City | FRANKLINTON |
| State | LA |
| Zip Code | 70438-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001890 | Thomas Edward Bowden Jr. | Emergency Medicine | 1900 Main St, Franklinton, LA 70438-3688 | 2005-05-24 |
| 1669094397 | Jacob Hunter Phillips | Nurse Practitioner | 1900 Main St, Franklinton, LA 70438-3688 | 2020-05-15 |
| 1902463201 | Mac Providers | Hospitalist | 1900 Main St, Franklinton, LA 70438-3688 | 2019-05-22 |
| 1396239869 | Marsha Long Seibert | Emergency Medicine | 1900 Main St, Franklinton, LA 70438 | 2018-06-19 |
| 1083107080 | Riverside Emergency Physician Partners LLC | Emergency Medicine | 1900 Main St, Franklinton, LA 70438 | 2018-06-13 |
| 1750879672 | Staci Recotta Jones | Nurse Practitioner | 1900 Main St, Franklinton, LA 70438-3688 | 2018-04-26 |
| 1740783042 | Natalie B Bratton | Nurse Practitioner | 1900 Main St, Franklinton, LA 70438-3688 | 2018-03-13 |
| 1649693136 | Riverside Medical Center | Clinic/Center | 1900 Main St, Franklinton, LA 70438-3688 | 2014-02-04 |
| 1407161250 | Nes Louisiana Inc | Emergency Medicine | 1900 Main St, Franklinton, LA 70438-3688 | 2010-08-17 |
| 1376708578 | Cardiology Consultants of Louisiana, Apmc | Internal Medicine | 1900 Main St, Franklinton, LA 70438-3688 | 2008-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528682754 | Just Health | Clinic/Center | 1002 Main St., Franklin, LA 70438 | 2020-06-03 |
| 1306372859 | Jeffrey Andrew Delee | Nurse Practitioner | 806-b Riverside Dr., Franklinton, LA 70438 | 2017-05-03 |
| 1376949966 | Washington Parish Behavioral Health LLC | Community/Behavioral Health | 915 Washington St., Franklinton, LA 70438 | 2014-11-10 |
| 1477840411 | James Randolph Creel | Pharmacist | 26496 Hwy 62, Franklinton, LA 70438 | 2011-06-28 |
| 1598962789 | Ronald D Bell Jr. | Dentist | 1935 Washington Street, Franklinton, LA 70438 | 2007-06-29 |
| 1982794640 | Richard Colon-ortiz | Internal Medicine | 806 Riverside Dr Ste B, Franklinton, LA 70438 | 2006-10-13 |
| 1629186150 | Earle Robinson Brown Jr. | Dentist | 934 Washington Street, Franklinton, LA 70438 | 2006-08-25 |
| 1508887977 | Earl Kyle Magee | Internal Medicine | 1900 Main St., Franklinton, LA 70438 | 2006-07-21 |
| 1356306864 | Eric Alan Payne | Internal Medicine | 709 Riverside Dr., Franklinton, LA 70438 | 2006-04-18 |
| 1164400404 | Jerry A Thomas | Family Medicine | 51704 Hwy 438, Franklinton, LA 70438 | 2006-01-06 |
| Find all providers in zip 70438 | ||||
| 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 |
|---|---|---|---|---|
| 1477840411 | James Randolph Creel | Pharmacist | 26496 Hwy 62, Franklinton, LA 70438 | 2011-06-28 |
| 1700326188 | Melissa Thornton | Pharmacist | 708 Washington St, Franklinton, LA 70438-1790 | 2017-03-03 |
| 1386040582 | C. Shantelle Williams | Pharmacist | 731 Washington St, Franklinton, LA 70438-6900 | 2014-11-15 |
| 1417359100 | Leslie Kay Markovic | Pharmacist | 1116 Washington St, Franklinton, LA 70438-1847 | 2014-09-24 |
| 1750719621 | Matthew Williams | Pharmacist | 708 Washington St, Franklinton, LA 70438-1790 | 2013-10-31 |
| 1497187546 | Crystal Nicole Champagne | Pharmacist | 1116 Washington St, Franklinton, LA 70438-1847 | 2013-07-31 |
| 1437434792 | Daniel Lundquist | Pharmacist | 708 Washington St, Franklinton, LA 70438-1790 | 2011-10-19 |
| 1437432077 | Ashley Wilson | Pharmacist | 1116 Washington St, Franklinton, LA 70438-1847 | 2011-09-20 |
| 1598047441 | James Williams | Pharmacist | 1116 Washington St, Franklinton, LA 70438-1847 | 2011-09-16 |
| 1003195330 | Doreelin Mendoza Chitla | Pharmacist | 3422 Us Hwy 1, Franklinton, NC 27525 | 2011-08-04 |
| Find all providers in FRANKLINTON | ||||
| City | FRANKLINTON |
| Zip Code | 70438 |
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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.