DAVID M ELDRIDGE (NPI# 1144870395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144870395 |
Entity Type | Individual |
Full Name | DAVID M ELDRIDGE |
Credential | PHARMD |
Practice Address |
509 Mccollum St La Porte IN 46350-5113 |
Mailing Address |
3253 Franklin St Michigan City IN 46360-7005 |
Practice Telephone | 2195758144 |
Enumeration Date | 2019-09-18 |
Last Update Date | 2019-09-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 26027675A | IN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457622086 | David Ryan Eldridge | Counselor | 12305 Mastin St, Overland Park, KS 66213-1810 | 2012-01-12 |
1710289640 | David Craig Eldridge | Optometrist | 6603 E 112th St S, Bixby, OK 74008-2059 | 2010-11-29 |
1386622967 | David Marchant Eldridge | Internal Medicine | John Cuming Bldg, #840, Concord, MA 01742 | 2006-01-04 |
1700448339 | David Benjamin Eldridge | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
1164964128 | David Eldridge | Registered Nurse | 905 Montgomery St, Decorah, IA 52101-2325 | 2016-11-08 |
1013319540 | David Anthony Eldridge | Physical Therapist | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2014-09-16 |
1083852883 | David F Eldridge | Nurse Anesthetist, Certified Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2009-02-02 |
1609935980 | David K Eldridge | Physical Therapist | 2500 Marina Bay Dr, Ste P, League City, TX 77573-2860 | 2006-12-06 |
1841260254 | David H Eldridge | Optometrist | 300 S Beverly Dr, #307, Beverly Hills, CA 90212-4808 | 2006-01-26 |
1407830854 | David L Eldridge | Pediatrics | 600 Moye Blvd, Ecu Physicians Pediatric Outpatient Center, Greenville, NC 27834-4300 | 2005-11-30 |
Street Address |
509 MCCOLLUM ST |
City | LA PORTE |
State | IN |
Zip Code | 46350-5113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
Find all providers in zip 46350 |
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 |
---|---|---|---|---|
1588265052 | Sarah Corder | Pharmacist | 2633 W 450 N, La Porte, IN 46350-7507 | 2020-11-02 |
1336672864 | Thu-thuy Thi Vo | Pharmacist | 5102 Glenview Ct, La Porte, TX 77571-2884 | 2017-04-11 |
1316379894 | Kevin R Nelson | Pharmacist | 55 Pine Lake Ave, La Porte, IN 46350-3027 | 2013-08-06 |
1811329634 | Gerry Lynn Bowman | Pharmacist | 1460 W State Road 2, La Porte, IN 46350-4602 | 2013-08-02 |
1750633822 | Jamie R Otto | Pharmacist | 532 E 300 N, La Porte, IN 46350-3995 | 2012-10-12 |
1457620734 | Mark Henry Robbins | Pharmacist | 4627 N Maplewood Dr, La Porte, IN 46350-7738 | 2011-12-15 |
1386966901 | Neal James Broussard | Pharmacist | 800 S Broadway St, La Porte, TX 77571-5324 | 2010-02-23 |
1568594125 | Curtis Lee Passafume Jr. | Pharmacist | 3695 W Pawnee Dr, La Porte, IN 46350-7953 | 2007-03-09 |
1831297985 | Rebecca Suzanne Stimley | Pharmacist | 696 W Nowak Dr, La Porte, IN 46350-8133 | 2006-09-20 |
1427658053 | Mindy Lorena Mullery | Pharmacist | 9025 Spencer Hwy, La Porte, TX 77571-3870 | 2020-11-01 |
Find all providers in LA PORTE |
Please comment or provide details below to improve the information on DAVID M ELDRIDGE.
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.