DESHARA LATRICE PHENIX (NPI# 1497395305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497395305 |
Entity Type | Individual |
Full Name | DESHARA LATRICE PHENIX |
Credential | PHARMD |
Practice Address |
5349 Cypress St West Monroe LA 71291-7505 |
Mailing Address |
1803 Woodhaven Dr Unit B Monroe LA 71201-5192 |
Practice Telephone | 3183978152 |
Mailing Telephone | 3185031495 |
Enumeration Date | 2020-01-08 |
Last Update Date | 2020-01-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 65795 | TX | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | PST.023302 | LA | Pharmacy Service Providers |
Street Address |
5349 CYPRESS ST |
City | WEST MONROE |
State | LA |
Zip Code | 71291-7505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366545295 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5349 Cypress St, West Monroe, LA 71291-7505 | 2006-09-06 |
1497356166 | Madison Claire Carter | Pharmacist | 5349 Cypress St, West Monroe, LA 71291-7505 | 2020-11-07 |
1386256410 | Ibtisam Mahrous | Pharmacist | 5349 Cypress St, West Monroe, LA 71291-7505 | 2020-08-19 |
1851934061 | Victoria Herrington | Pharmacist | 5349 Cypress St, West Monroe, LA 71291-7505 | 2019-10-21 |
1578118345 | Randy Dale Lee Jr. | Pharmacist | 5349 Cypress St, West Monroe, LA 71291-7505 | 2019-08-07 |
1831668847 | Emily Mcgee | Pharmacist | 5349 Cypress St, West Monroe, LA 71291-7505 | 2018-11-19 |
1841705845 | Amanda Johnson Oubre | Pharmacist | 5349 Cypress St, West Monroe, LA 71291-7505 | 2017-12-12 |
1629588355 | Hanah Christa Wyles | Pharmacist | 5349 Cypress St, West Monroe, LA 71291-7505 | 2017-10-08 |
1417326646 | Matthew Lane | Pharmacist | 5349 Cypress St, West Monroe, LA 71291-7505 | 2015-09-17 |
1366823874 | Colin Mcrae | Pharmacist | 5349 Cypress St, West Monroe, LA 71291-7505 | 2015-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
Find all providers in zip 71291 |
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 |
---|---|---|---|---|
1134729734 | Devin K Richardson | Pharmacist | 113 Sam Dr, West Monroe, LA 71291-6978 | 2020-11-01 |
1659903631 | Yolanda Denise Mcelroy | Pharmacist | 124 Temecula Dr, West Monroe, LA 71292-0476 | 2020-02-07 |
1578029724 | Maged Nour | Pharmacist | 122 Mizell Ln, West Monroe, LA 71291-9020 | 2019-02-13 |
1457806747 | Chelsea Brasell | Pharmacist | 1115 Ole Highway 15 Lot 11, West Monroe, LA 71291-1738 | 2016-08-17 |
1417363755 | Brooke Ann Walker | Pharmacist | 124 Westfields Ct, West Monroe, LA 71291-8772 | 2014-07-08 |
1417361346 | Jeremy Cobb | Pharmacist | 903 Warren Dr Ste C, West Monroe, LA 71291-7158 | 2014-06-18 |
1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
1740605732 | Tom Reese Shelton Jr. | Pharmacist | 102 Racove Dr, West Monroe, LA 71291-7349 | 2014-02-27 |
1043559180 | Sharon R Michael | Pharmacist | 112 Jason Dr, West Monroe, LA 71291-5315 | 2013-02-09 |
1881943108 | Dana Ayers Cormier | Pharmacist | 707 Coleman Ave, Ste 200, West Monroe, LA 71292-3716 | 2012-08-31 |
Find all providers in WEST MONROE |
City | WEST MONROE |
Zip Code | 71291 |
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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.