KAYLEE SELF (NPI# 1487131637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487131637 |
| Entity Type | Individual |
| Full Name | KAYLEE SELF |
| Credential | PHARMD |
| Practice Address |
1540 N Market St Shreveport LA 71107-6528 |
| Mailing Address |
280 Ranchtown Rd Elm Grove LA 71051-8051 |
| Practice Telephone | 3184241429 |
| Mailing Telephone | 3184533276 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 22521 | LA | Pharmacy Service Providers |
| Street Address |
1540 N MARKET ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-6528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285731760 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1540 N Market St, Shreveport, LA 71107 | 2006-09-19 |
| 1093325383 | Tawnee Marie Chandler | Pharmacist | 1540 N Market St, Shreveport, LA 71107-6528 | 2020-08-03 |
| 1962945907 | James Daniel Laing | Pharmacist | 1540 N Market St, Shreveport, LA 71107-6528 | 2016-11-23 |
| 1114474178 | Cristee Wright | Pharmacist | 1540 N Market St, Shreveport, LA 71107-6528 | 2016-09-07 |
| 1366725236 | Ashley Broden | Pharmacist | 1540 N Market St, Shreveport, LA 71107-6528 | 2011-09-27 |
| 1326321316 | Dreama Goldsmith | Pharmacist | 1540 N Market St, Shreveport, LA 71107-6528 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| 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 |
|---|---|---|---|---|
| 1982211397 | Bradford Louis Morgan | Pharmacist | 9084 Ferry Creek Dr, Shreveport, LA 71106-8404 | 2020-09-29 |
| 1306453451 | Benjamin Allbritton | Pharmacist | 1333 Coates Bluff Dr Apt 1324, Shreveport, LA 71104-2823 | 2020-09-23 |
| 1760031652 | Cecelia Vergo | Pharmacist | 388 Bert Kouns Industrial Loop, Shreveport, LA 71106-8123 | 2019-09-04 |
| 1700431244 | Jennifer S Boudreaux | Pharmacist | 1410 Kings Hwy, Shreveport, LA 71103-4227 | 2019-08-01 |
| 1932688702 | Cortez Davis | Pharmacist | 6000 W 70th St Apt 1107, Shreveport, LA 71129-2530 | 2018-08-12 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1407225410 | Jeff Jones | Pharmacist | 5907 Old Mooringsport Rd, Shreveport, LA 71107-2023 | 2015-09-20 |
| 1063816353 | Rita Saye | Pharmacist | 319 Albany Ave, Shreveport, LA 71105-2001 | 2014-10-15 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on KAYLEE SELF.
| 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.