VITAL CARE OF MISS-LOU INC (NPI# 1619993300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619993300 |
| Entity Type | Organization |
| Organization Name | VITAL CARE OF MISS-LOU INC |
| Other Organization Name | LAKESIDE PHARMACY & GIFT |
| Practice Address |
6280 Highway 129 Monterey LA 71354-4072 |
| Mailing Address |
Po Box 37 Monterey LA 71354-0037 |
| Practice Telephone | 3183862344 |
| Practice Fax Number | 3183862366 |
| Mailing Telephone | 3183862344 |
| Mailing Fax Number | 3183862366 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-10-04 |
| Authorized Official Name | CHARLES MAIER (R.PH.) |
| Authorized Official Telephone | 3183862344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.007013-IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2203754 | 05 | |
| PK | 2033948 | 01 |
| Other Name | Type Code |
|---|---|
| Lakeside Pharmacy & Gift | Doing Business As Name - Organization |
| Street Address |
6280 HIGHWAY 129 |
| City | MONTEREY |
| State | LA |
| Zip Code | 71354-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023284163 | Colvin's Pharmacy & Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6280 Hwy 129, Monterey, LA 71354 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
| 1831798412 | Samantha Arianna Loris Marrah | Occupational Therapist | 21 Lower Ragsdale Dr, Monterey, CA 93940-5827 | 2020-10-23 |
| 1902404288 | Lauren Anne Fonti | Student in an Organized Health Care Education/Training Program | 361 Reeside Ave Unit A, Monterey, CA 93940-1809 | 2020-10-09 |
| 1437765906 | Pamela Dino | Massage Therapist | 510 Laine St Apt 3, Monterey, CA 93940-1347 | 2020-09-21 |
| 1144836099 | Joshua A. Lederach | Marriage & Family Therapist | 1010 Cass St # C, Monterey, CA 93940-4515 | 2020-09-16 |
| 1376158931 | Ying Liu | Acupuncturist | 695 Lobos St, Monterey, CA 93940-2016 | 2020-09-10 |
| 1043825730 | Lucas Netsch | Massage Therapist | 249 Laine St Apt C, Monterey, CA 93940-1871 | 2020-09-10 |
| 1770196750 | Lucy Richmond | Massage Therapist | 1 Surf Way Apt 234, Monterey, CA 93940-3454 | 2020-08-28 |
| 1689287757 | Michelle Correa Salameh | Nurse Practitioner | 1441 Via Marettimo, Monterey, CA 93940-6415 | 2020-08-28 |
| 1447874763 | Universal Health Net Monterey Home Health | Home Health | 824 Munras Ave Ste P, Monterey, CA 93940-3121 | 2020-06-02 |
| Find all providers in MONTEREY | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1902150030 | Freds Stores of Tennessee Inc | Pharmacy | 250 E. Stratton Ave., Monterey, TN 38574-1107 | 2012-10-26 |
| 1598708380 | Longs Drug Stores California LLC | Pharmacy | 2170 Fremont St, Monterey, CA 93940-5213 | 2006-06-13 |
| 1598192395 | Ordway Pharmacy | Pharmacy | 499 Alvarado St, Monterey, CA 93940-2739 | 2013-10-11 |
| 1013014299 | Valabco Inc | Pharmacy | 499 Alvarado St, Monterey, CA 93940-2739 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568054 | Chris Pharmacy of Gonzalez LLC | Pharmacy | 14505 Highway 44 Ste 112, Gonzales, LA 70737-7195 | 2020-11-02 |
| 1639779788 | Harvey Lee Smith Jr. | Pharmacy | 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 | 2020-10-28 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1093321812 | Community Pharmacy of Sterlington | Pharmacy | 200 Scott Dr, Sterlington, LA 71280 | 2020-09-17 |
| 1386256121 | Lagniappe Pharmacy 7, LLC | Pharmacy | 1900 Saint Charles Ave, New Orleans, LA 70130-5317 | 2020-08-22 |
| 1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
| 1053929703 | Viallon Drug Co of Donaldsonville | Pharmacy | 309 Marchand Dr, Donaldsonville, LA 70346-3242 | 2020-07-20 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| 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.