PBM SOLUTIONS COUSHATTA LLC (NPI# 1548823370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548823370 |
Entity Type | Organization |
Organization Name | PBM SOLUTIONS COUSHATTA LLC |
Practice Address |
287 Panther Trail Dr Kinder LA 70648 |
Practice Telephone | 3377384170 |
Practice Fax Number | 3377384171 |
Mailing Telephone | 3377384170 |
Mailing Fax Number | 3377384171 |
Enumeration Date | 2019-04-17 |
Last Update Date | 2019-04-17 |
Authorized Official Name | PHILIPPE PUCHEU (OWNER/MANAGER) |
Authorized Official Telephone | 3377384170 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | DEA | FC8268977 | 01 |
LA | LOUISIANA PHARMACY PERMIT | 007882 | 01 |
Other Name | Type Code |
---|---|
Coushatta Family Pharmacy | Doing Business As Name - Organization |
Street Address |
287 PANTHER TRAIL DR |
City | KINDER |
State | LA |
Zip Code | 70648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477175610 | Lindsey R Landry | Speech-Language Pathologist | 13938 Us-165, Kinder, LA 70648 | 2020-05-11 |
1396189247 | Pelican Healthcare System LLC | Clinic/Center | 152 Old Sawmill Road, Kinder, LA 70648 | 2013-04-22 |
1851667497 | Bayou Chirocare | Chiropractor | 107 1st Ave., Kinder, LA 70648 | 2012-03-28 |
1861725913 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 287 Panther Trail, Kinder, LA 70648 | 2009-09-08 |
1285873497 | Laci Smalley | Dietitian, Registered | 287 Panther Trail Drive, Kinder, LA 70648 | 2009-02-11 |
1528284676 | Kinder Eye Care | Optometrist | 442 N 9th St, #2, Kinder, LA 70648 | 2007-04-17 |
1225251432 | Allen Parish Hosptial Rural Health Clinic | Family Medicine | 108 6th Ave., Kinder, LA 70648 | 2007-04-10 |
1245356849 | Gene Michael Karam | Dentist | 323 N 8th Street, Kinder, LA 70648 | 2007-03-22 |
1760520449 | Neck and Back Clinic of Kinder Inc | Chiropractor | 107 1st Ave, Kinder, LA 70648 | 2007-02-02 |
1629132543 | Healthworks Med Group of Louisiana | Family Medicine | 121 Turkey Lane, Kinder, LA 70648 | 2006-12-22 |
Find all providers in zip 70648 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
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1518572049 | Fmol Health Systems | Pharmacy | 4809 Ambassador Caffery Pkwy Ste 120a, Lafayette, LA 70508-8800 | 2020-09-11 |
1114495355 | Iberia Comprehensive Community Health Center | Pharmacy | 1009 Charity Street, Abbeville, LA 70510-5239 | 2018-11-06 |
1780152157 | Vernon Parish Community Health Center Pharmacy | Pharmacy | 298 Nolan Trace Pkway, Leesville, LA 71446-3912 | 2018-11-05 |
1639702087 | Teche Action Board, Inc. | Pharmacy | 1124 7th St, Morgan City, LA 70380-1951 | 2020-02-13 |
1790158681 | Obh Region 8 Pharmacy | Pharmacy | 4800 S Grand St, Monroe, LA 71202-6412 | 2015-11-02 |
1558756742 | South Central La Human Services Authority Pharmacy | Pharmacy | 1809 W Airline Hwy, La Place, LA 70068-3336 | 2015-04-03 |
1740617364 | Our Lady of The Angels Hospital, Inc. | Pharmacy | 400 Memphis Street, Bogalusa, LA 70427 | 2013-09-27 |
1790021939 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
1831490531 | Specialists Hospital of Shreveport LLC | Pharmacy | 1500 Line Ave, Ste #104b, Shreveport, LA 71101-4639 | 2010-11-11 |
1255646568 | Marillac Community Health Centers | Pharmacy | 3201 S Carrollton Ave, New Orleans, LA 70118-4307 | 2010-08-11 |
Find all providers with the same taxonomy |
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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.