KYLE BOURGEOIS (NPI# 1619423399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619423399 |
| Entity Type | Individual |
| Full Name | KYLE BOURGEOIS |
| Credential | PHARMD |
| Practice Address |
932 Carrollwood Dr La Place LA 70068-3304 |
| Mailing Address |
1686 Cabanose St Lutcher LA 70071-5611 |
| Practice Telephone | 9856521245 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PST.021708 | LA | Pharmacy Service Providers |
| Street Address |
932 CARROLLWOOD DR |
| City | LA PLACE |
| State | LA |
| Zip Code | 70068-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831743962 | Herzel Enterprises, LLC | Speech-Language Pathologist | 2136 Colonial Dr., Laplace, LA 70068 | 2019-07-26 |
| 1225695752 | Roger Guerin | Nurse Practitioner | River Place Behavioral Hospital, 500 Rue De Sante Rd., Laplace, LA 70068 | 2019-05-21 |
| 1578079661 | William Paul Gomla | Pharmacist | 932 Carrollwood Ave., Laplace, LA 70068 | 2017-12-27 |
| 1770001497 | Danesha Anthony | Case Manager/Care Coordinator | 1820 English Colony Dr, La Place, LA 70068 | 2017-09-01 |
| 1679091649 | Shade Shamarion Collins | Counselor | 51 Country Club Drove, Laplace, LA 70068 | 2017-08-30 |
| 1306375746 | Aniya Kesean Burl | Counselor | 2425 Williamsburg Dr, Laplace, LA 70068 | 2017-06-08 |
| 1073042412 | Dominique L Mcgehee | Counselor | 2168 Carmel Valley Drive, Laplace, LA 70068 | 2017-06-08 |
| 1700310901 | Malchiel Smith | Social Worker | 3205 Us-51, Laplace, LA 70068 | 2017-04-13 |
| 1265965966 | Shitara Sanders | Counselor | 3205 Highway 51, Suite C, Laplace, LA 70068 | 2017-04-10 |
| 1841730181 | Southern Care Connection, LLC | Home Health | 1101 W Airline Hwy, Suite J, Laplace, LA 70068 | 2017-03-06 |
| Find all providers in zip 70068 | ||||
| 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 |
|---|---|---|---|---|
| 1972924710 | Thanh Nguyen | Pharmacist | 115 Chartres Ct, La Place, LA 70068-6491 | 2013-12-20 |
| 1942517289 | Emma Dolmo Miguel | Pharmacist | 905 Fairway Dr, La Place, LA 70068-2853 | 2010-09-08 |
| 1396342457 | Shaina Alexis Griffin | Pharmacist | 1815 W Airline Hwy, La Place, LA 70068-3336 | 2020-10-02 |
| 1902449408 | Kiley J Thomas | Pharmacist | 1815 W Airline Hwy, La Place, LA 70068-3336 | 2019-10-28 |
| 1336548726 | Allen Bellina | Pharmacist | 1616 W Airline Hwy, La Place, LA 70068-3331 | 2014-08-21 |
| 1972902906 | Jarrod Sears | Pharmacist | 1616 W Airline Hwy, La Place, LA 70068-3331 | 2014-08-14 |
| 1710386958 | Phung Kim Tran | Pharmacist | 1616 W Airline Hwy, La Place, LA 70068-3331 | 2014-08-13 |
| 1083023311 | Jeanine Gilbert | Pharmacist | 1616 W Airline Hwy, La Place, LA 70068-3331 | 2014-08-12 |
| 1891046843 | Stephanie Jean Thompson | Pharmacist | 1815 W Airline Hwy, La Place, LA 70068-3336 | 2012-09-29 |
| 1952684599 | Erica Marie Placide | Pharmacist | 1500 W Airline Hwy, La Place, LA 70068-3725 | 2011-09-20 |
| Find all providers in LA PLACE | ||||
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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.