AMY DOUGLASS (NPI# 1639610785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639610785 |
| Entity Type | Individual |
| Full Name | AMY DOUGLASS |
| Credential | PHARMD |
| Practice Address |
9026 Jefferson Hwy Ste 101 Baton Rouge LA 70809-2432 |
| Practice Telephone | 2258311212 |
| Practice Fax Number | 2258311259 |
| Mailing Telephone | 2258311212 |
| Mailing Fax Number | 2258311259 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 12236 | TN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 21377 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427442607 | Amy Douglass | Marriage & Family Therapist | 1002 N 129th Infantry Dr Ste F, Joliet, IL 60435-3109 | 2015-03-25 |
| 1356782601 | Amy Douglass | Emergency Medicine | 365 Montauk Ave, New London, CT 06320-4769 | 2013-07-16 |
| 1003154329 | Amy Michelle Douglass | Speech-Language Pathologist | 521 Ne 25th Ave, Ocala, FL 34470-7034 | 2013-01-21 |
| Street Address |
9026 JEFFERSON HWY STE 101 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528542669 | Integrative Pharmacy and Wellness, LLC | Pharmacist | 9026 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2432 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| 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 |
|---|---|---|---|---|
| 1578185229 | Erin Hannah Morgan | Pharmacist | 17050 Medical Center Dr Fl 1, Baton Rouge, LA 70816-3221 | 2020-05-15 |
| 1336791458 | Kacie Marie Watson | Pharmacist | 100 Womans Way Ste Ssb1, Baton Rouge, LA 70817-5100 | 2019-07-09 |
| 1598209504 | Toni Davis Scott | Pharmacist | North Stadium Drive, Baton Rouge, LA 70808 | 2016-12-09 |
| 1538617097 | Loan Nguyen | Pharmacist | 1315 N Cicero Ave, Baton Rouge, LA 70816-1856 | 2016-09-14 |
| 1306200308 | Richard Bienvenu | Pharmacist | 6765 Corporate Blvd, Apt 9209, Baton Rouge, LA 70809-1061 | 2016-04-06 |
| 1114390127 | Anne Minh-anh Tran | Pharmacist | 1628 Campden Dr, Baton Rouge, LA 70810-3599 | 2015-11-12 |
| 1477920452 | Brittney Johnson | Pharmacist | 12629 E Robin Hood Dr, Baton Rouge, LA 70815-6639 | 2015-08-26 |
| 1578930566 | Cally Marie Newsom | Pharmacist | 5500 Perkins Rd Apt 3111, Baton Rouge, LA 70808-4105 | 2015-08-26 |
| 1760858955 | Lauren Mcneill | Pharmacist | 5555 Essen Ln Ste C, Baton Rouge, LA 70809-3566 | 2015-08-11 |
| 1174901664 | Warren Williams | Pharmacist | 17837 Creek Hollow Rd, Baton Rouge, LA 70817-3840 | 2015-05-15 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on AMY DOUGLASS.
| 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.