SAM P CIMINO (NPI# 1326310137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326310137 |
| Entity Type | Individual |
| Full Name | SAM P CIMINO |
| Credential | RPH |
| Practice Address |
2107 Airline Dr Bossier City LA 71111-3105 |
| Mailing Address |
8348 Brookington Dr Shreveport LA 71107-8605 |
| Practice Telephone | 3187425590 |
| Practice Fax Number | 3187428457 |
| Mailing Telephone | 3184224663 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10700 | LA | Pharmacy Service Providers |
| Street Address |
2107 AIRLINE DR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760497937 | Walgreen Co | Pharmacy | 2107 Airline Dr, Bossier City, LA 71111-3105 | 2006-07-29 |
| 1760092068 | Tyler J Vincent | Pharmacist | 2107 Airline Dr, Bossier City, LA 71111-3105 | 2020-08-03 |
| 1538638374 | Bin Chen | Pharmacist | 2107 Airline Dr, Bossier City, LA 71111-3105 | 2018-11-23 |
| 1932505369 | Tijani Kolade | Pharmacist | 2107 Airline Dr, Bossier City, LA 71111-3105 | 2014-11-12 |
| 1417231614 | Jennifer Bass | Pharmacist | 2107 Airline Dr, Bossier City, LA 71111 | 2011-10-06 |
| 1780966820 | Michael Adrian Yang | Pharmacist | 2107 Airline Dr, Bossier City, LA 71111 | 2011-09-14 |
| 1518247725 | Hien-andrew Nguyen | Pharmacist | 2107 Airline Dr, Bossier City, LA 71111-3105 | 2011-08-18 |
| 1043599954 | La Tisha P. Bowie | Pharmacist | 2107 Airline Dr, Bossier City, LA 71111-3105 | 2011-08-09 |
| 1699082792 | Marc Skipper | Pharmacist | 2107 Airline Dr, Bossier City, LA 71111-3105 | 2010-09-10 |
| 1962717363 | Thomas D Haynes | Pharmacist | 2107 Airline Dr, Bossier City, LA 71111-3105 | 2010-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| 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 | 71111 |
Please comment or provide details below to improve the information on SAM P CIMINO.
| 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.