LANEY DOUCETT EBERSOLE (NPI# 1609395367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609395367 |
| Entity Type | Individual |
| Full Name | LANEY DOUCETT EBERSOLE |
| Credential | PHARMD |
| Practice Address |
3451 Nelson Rd Lake Charles LA 70605-1209 |
| Practice Telephone | 3374779831 |
| Mailing Telephone | 3374779831 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 022197 | LA | Pharmacy Service Providers |
| Street Address |
3451 NELSON RD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518984889 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2006-07-16 |
| 1386096212 | Peter Feinberg | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2016-07-03 |
| 1548669898 | Arezou Seadet | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2014-08-21 |
| 1053710988 | Nancy Edwards | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2014-08-15 |
| 1093114209 | Allison Louviere | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2014-08-14 |
| 1427457506 | Kristopher Chad Hobgood | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2014-08-14 |
| 1023444643 | Michael Mccauley | Pharmacist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2013-09-16 |
| 1073873246 | Blake Everett Price | Dentist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2012-05-22 |
| 1215230412 | Starfish Lake Charles | Dentist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2010-12-09 |
| 1316020183 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 3451 Nelson Rd, Lake Charles, LA 70605-1209 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| 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 |
|---|---|---|---|---|
| 1407308034 | Madeline Landry | Pharmacist | 3731 Inwood Dr, Lake Charles, LA 70605-6770 | 2016-10-31 |
| 1376099143 | Jessica Pete | Pharmacist | 2818 Barb Ln, Lake Charles, LA 70607-7645 | 2016-08-31 |
| 1225498306 | Raven Rachelle Miranda | Pharmacist | 6031 Nelson Rd, Lake Charles, LA 70605-0468 | 2016-03-02 |
| 1386018661 | Joseph Tchani | Pharmacist | 1605 Whispering Woods Dr, Lake Charles, LA 70605-1300 | 2015-11-24 |
| 1861878803 | Chelsey Trammell | Pharmacist | 2000 Gerstner Memorial Dr, Lake Charles, LA 70601 | 2015-07-31 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1417356544 | Scott Labiche | Pharmacist | 3415 Highway 14, Lake Charles, LA 70607-2147 | 2014-08-14 |
| 1023417151 | Kyle Gardner | Pharmacist | 2500 North Highway 171, Lake Charles, LA 70601 | 2014-08-14 |
| 1598188443 | Lores Roeder | Pharmacist | 5721 Alder St, Lake Charles, LA 70605-0496 | 2014-01-29 |
| 1508290768 | Shanna Tiffany Simon | Pharmacist | 899 N Highway 171, Lake Charles, LA 70611-5034 | 2013-08-23 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.