POOLE DERMATOLOGY, APMC


Address: 111 Veterans Memorial Blvd Ste 406a, Metairie, LA 70005-3028
Phone: 5048388290

POOLE DERMATOLOGY, APMC (NPI# 1457803421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457803421
Entity Type Organization
Organization Name POOLE DERMATOLOGY, APMC
Other Organization Name GULF SOUTH PHARMACY
Practice Address 111 Veterans Memorial Blvd Ste 406a
Metairie
LA 70005-3028
Mailing Address 1620 W Northwest Hwy
Suite 100
Grapevine
TX 76051-3177
Practice Telephone 5048388290
Practice Fax Number 5048388233
Mailing Telephone 8175720009
Mailing Fax Number 8177201039
Enumeration Date 2016-10-26
Last Update Date 2016-10-26
Authorized Official Name TAMMIE MISKIMINS (MANAGER, LICENSING)
Authorized Official Telephone 8175720009
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHY.007385 LA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2165806 01

Other Provider/Organization Names

Other Name Type Code
Gulf South Pharmacy Doing Business As Name - Organization

Office Location

Street Address 111 VETERANS MEMORIAL BLVD STE 406A
City METAIRIE
State LA
Zip Code 70005-3028

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548793581 Amber Alia Trepagnier Counselor 701 Papworth Ave Ste 209, Metairie, LA 70005 2017-04-06
1912386640 Nola, Pride-wfh LLC Community/Behavioral Health 700 Phosphor Ave, Suite C, Metairie, LA 70005 2015-05-27
1952731705 Doctors Dental 06, LLC Clinic/Center 730 Veterans Blvd Suite B, Metairie, LA 70005 2013-11-14
1740613827 Lawrence Garvey Bole Internal Medicine 400 Rue St Ann, Unit 214, Metairie, LA 70005 2013-08-13
1295172880 Shirer Counseling Services Counselor 707 Papworth Ave., Ste. 202, Metairie, LA 70005 2013-05-23
1841573599 Linda Keys Pharmacist 1107 Veterans Blvd, Metairie, LA 70005 2011-09-20
1780987909 Kenneth Mcleod Jr. Internal Medicine 351 Elmeer Ave, Metairie, LA 70005 2010-12-09
1972804615 Courtney Theriot Scala Counselor 1312 Aris Ave, Metairie, LA 70005 2010-11-11
1528378031 Robert Fleming Azar Ophthalmology 400 Old Hammond Hwy, Suite 6-a, Metairie, LA 70005 2010-10-18
1881909042 Fidelity Behavioral Health Services, LLC Community/Behavioral Health 700 Papworth Ave, Metairie, LA 70005 2010-08-12
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942829247 Good Vibe Ventures LLC Pharmacy 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 2020-04-16
1619481066 Clearview Drugs LLC Pharmacy 2000 Clearview Pkwy Ste 103, Metairie, LA 70001-2438 2017-11-21
1750751764 B&b Drugs Inc Pharmacy 612 Veterans Blvd, Metairie, LA 70005-2937 2015-10-02
1083084057 C & S Family Pharmacy Pharmacy 1300 Veterans Memorial Blvd, Metairie, LA 70005-2733 2015-10-02
1174627012 Louisiana Cvs Pharmacy, L.L.C. Pharmacy 4950 W Esplanade Ave, Metairie, LA 70006-2670 2006-09-12
1417962697 Walgreen Co Pharmacy 909 David Dr, Metairie, LA 70003-5134 2006-07-29
1134134398 Walgreen Co Pharmacy 1503 Metairie Rd, Metairie, LA 70005-3938 2006-07-29
1326053505 Walgreen Co Pharmacy 4545 W Esplanade Ave, Metairie, LA 70006-2800 2006-07-29
1518980895 Louisiana Cvs Pharmacy LLC Pharmacy 4500 Veterans Memorial Blvd, Metairie, LA 70006-5330 2006-07-26
1073534368 Winn Dixie Stores Inc Pharmacy 211 Veterans Memorial Blvd, Metairie, LA 70005-3005 2006-07-21
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Competitor

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City METAIRIE
Zip Code 70005

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Dataset Information

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.

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