EMERALD MEDICAL SUPPLY (NPI# 1164577276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164577276 |
| Entity Type | Organization |
| Organization Name | EMERALD MEDICAL SUPPLY |
| Practice Address |
39362 Meadowbrook Ave Prairieville LA 70769-4836 |
| Practice Telephone | 2257723071 |
| Practice Fax Number | 2256226083 |
| Mailing Telephone | 2257723071 |
| Mailing Fax Number | 2256226083 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTINA MCDANIEL (OWNER) |
| Authorized Official Telephone | 2257723071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers |
| Street Address |
39362 MEADOWBROOK AVE |
| City | PRAIRIEVILLE |
| State | LA |
| Zip Code | 70769-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670252 | Lam Dentistry | Clinic/Center | 37341 Perkins Road, Prairieville, LA 70769 | 2019-07-09 |
| 1124597836 | Tien-trang Thi Le | Pharmacist | 40567 La-42, Prairieville, LA 70769 | 2018-11-26 |
| 1245707884 | Prairieville Emergency Physicians, Pllc | General Acute Care Hospital | 37358 Market Place Dr., Prairieville, LA 70769 | 2018-11-01 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1003311234 | Toni Duhe Byers | Counselor | 40228 Parker Road, Prairieville, LA 70769 | 2018-03-29 |
| 1205330990 | Grace Family Chiropractic LLC | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769 | 2018-03-19 |
| 1184127698 | Kenya Smith | Case Manager/Care Coordinator | 36369 Crestway Ave, Prairieville, LA 70769 | 2018-03-10 |
| 1376055798 | Jennifer Gravois Granier | Pharmacist | 40567 La Hwy 42, Prairieville, LA 70769 | 2017-10-25 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1629598537 | Keshla Washington | Specialist/Technologist | 36505 Oak Plaza Ave, Suite B, Prairieville, LA 70769 | 2017-06-21 |
| Find all providers in zip 70769 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619028917 | South Shreve Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 8520 Business Park Dr, Shreveport, LA 71105-5654 | 2007-01-15 |
| 1659380004 | Southern Acres Care Center, Lp | Durable Medical Equipment & Medical Supplies | 4600 Reddix Ln, Monroe, LA 71202-5949 | 2006-08-05 |
| 1730124488 | Virginia Hall Nursing Home | Durable Medical Equipment & Medical Supplies | 2715 Albert L Bicknell Dr, Shreveport, LA 71103-3925 | 2006-06-17 |
| 1518911205 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 203 Four Park Rd, Lafayette, LA 70507-2481 | 2006-05-19 |
| 1609865096 | Acadian Oaks Nursing Home LLC | Durable Medical Equipment & Medical Supplies | 2707 Kaliste Saloom Rd, Lafayette, LA 70508-7139 | 2005-10-18 |
| 1194710590 | Brown Development, LLC | Durable Medical Equipment & Medical Supplies | 32 Crothers Dr, Tallulah, LA 71282-5510 | 2005-09-13 |
| 1245231992 | Notre Dame Health System | Durable Medical Equipment & Medical Supplies | 1050 Medical Center Blvd, Marrero, LA 70072-3144 | 2005-08-03 |
| 1609876267 | Express Medical Products, Inc. | Durable Medical Equipment & Medical Supplies | 301 Veterans Blvd, Denham Springs, LA 70726-4722 | 2005-07-26 |
| 1972502185 | Ollie Steele Burden Manor, Inc | Durable Medical Equipment & Medical Supplies | 7435 Bishop Ott Drive, Baton Rouge, LA 70806-8930 | 2005-07-19 |
| 1386031235 | Carmichael's Cashway Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4809 Ambassador Caffery Pkwy, Suite 220, Lafayette, LA 70508-8800 | 2015-04-17 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIEVILLE |
| Zip Code | 70769 |
Please comment or provide details below to improve the information on EMERALD MEDICAL SUPPLY.
| 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.