MR. CHARLES DAVID COLLEY (NPI# 1164924361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164924361 |
| Entity Type | Individual |
| Full Name | MR. CHARLES DAVID COLLEY |
| Credential | R.PH. |
| Practice Address |
1514 Sampson St # 1 Westlake LA 70669-4632 |
| Mailing Address |
1134 Caesars Ct Lake Charles LA 70611-6739 |
| Practice Telephone | 3374331742 |
| Mailing Telephone | 3372171524 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 016137 | LA | Pharmacy Service Providers |
| Street Address |
1514 SAMPSON ST # 1 |
| City | WESTLAKE |
| State | LA |
| Zip Code | 70669-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346746757 | Michael Ogea | Family Medicine | 2200 Old Spanish Trail, Westlake, LA 70669 | 2018-04-04 |
| 1215310453 | Jordan Stein Broussard | Nurse Practitioner | 3301 Old Spanish Trail, Westlake, LA 70669 | 2015-07-07 |
| 1518242296 | Eastman Chiropractic Clinic | Chiropractor | 902 Sampson Street, Westlake, LA 70669 | 2011-10-13 |
| 1598829269 | Paul Dean Vidrine | Dentist | 902a Shady Ln, Westlake, LA 70669 | 2006-12-20 |
| 1568592368 | Jody Robert George | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-03-07 |
| 1609191113 | Ramona Leigh Whittington | Nurse Practitioner | 2345 Sampson St, Westlake, LA 70669-2711 | 2010-03-29 |
| 1396951307 | Randall K Wagman Md Apmc | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-05-15 |
| 1467675462 | The Family Care Center of Southwest Louisiana, LLC | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-04-10 |
| 1629389101 | Vonda Flue | Occupational Therapist | 924 Live Oak St, Westlake, LA 70669-3209 | 2010-06-29 |
| 1477864338 | Rita Rae Fontenot | Podiatrist | 1403 Beech St, Westlake, LA 70669-4101 | 2010-06-25 |
| Find all providers in zip 70669 | ||||
| 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 |
|---|---|---|---|---|
| 1184258154 | Mareshah Dianne Chaitoo Rangaya | Pharmacist | 30924 Prestwick Xing, Westlake, OH 44145-5090 | 2020-02-27 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1649626227 | Sally Khalil | Pharmacist | 30824 Sawgrass Ln, Westlake, OH 44145-6850 | 2016-05-12 |
| 1275943136 | Abigail Adu-gyane | Pharmacist | 1517 Weymouth Cir, # 202, Westlake, OH 44145-6178 | 2014-05-01 |
| 1821429465 | Shana Murphy Prejean | Pharmacist | 120 Villa Dr, Westlake, LA 70669-5909 | 2013-12-09 |
| 1104256965 | Hooshang Sheikhi | Pharmacist | 3658 Windsong Ct, Westlake, OH 44145-5483 | 2013-11-14 |
| 1992079065 | Sue Feingold | Pharmacist | 2212 Cedar Elm Ter, Westlake, TX 76262-9027 | 2012-03-06 |
| 1992081855 | Candace Best | Pharmacist | 3064 Macintosh Dr, Westlake, OH 44145-4580 | 2011-10-24 |
| 1568757078 | Maro M Siha | Pharmacist | 1595 E Crossings Pl, Westlake, OH 44145-6224 | 2011-06-13 |
| 1588954804 | Phyllis Maame Afful | Pharmacist | 23709 Center Ridge Road, Westlake, OH 44145 | 2011-04-08 |
| Find all providers in WESTLAKE | ||||
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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.