MS. CHERYL LARRIEU BOURG (NPI# 1649394057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649394057 |
| Entity Type | Individual |
| Full Name | MS. CHERYL LARRIEU BOURG |
| Credential | R.PH. |
| Practice Address |
Lsu Student Health Center Pharmacy Infirmary Road, Lsu Baton Rouge LA 70803 |
| Mailing Address |
18235 Bel Meadow Ave Baton Rouge LA 70810-6033 |
| Practice Telephone | 2255785651 |
| Practice Fax Number | 2255787684 |
| Mailing Telephone | 2257525909 |
| Mailing Fax Number | 2257537886 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11334 | LA | Pharmacy Service Providers |
| Street Address |
LSU STUDENT HEALTH CENTER PHARMACY INFIRMARY ROAD, LSU |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649822164 | Joshua Vaughn Bunch | Specialist/Technologist | Lsu Athletic Department, Athletic Training, North Stadium Drive, Baton Rouge, LA 70803 | 2019-07-15 |
| 1225512767 | Louisiana State University | Pharmacy | 1 North Stadium Drive, Broussard Center for Athletic Training, Baton Rouge, LA 70803 | 2018-09-20 |
| 1447652433 | Joshua Pratt | Specialist/Technologist | Lsu Athletic Training, Athletic Administration Building, Baton Rouge, LA 70803 | 2014-09-22 |
| 1851709216 | Derek Calvert | Specialist/Technologist | Lsu Athletic Administration Building, Athletic Training Room, Baton Rouge, LA 70803 | 2014-07-30 |
| 1770924599 | Malena Badon | Clinical Medical Laboratory | 340 East Parker Street, Baton Rouge, LA 70803 | 2013-07-09 |
| 1548369465 | Louisiana State Univ Students Health Ctr | Pharmacist | Infirmary Road, Room 172 Pharmacy, Baton Rouge, LA 70803 | 2006-09-21 |
| 1912937145 | Louisiana Emergency & Trauma Specialists | Emergency Medicine | 3600 Florida Blvd, Baton Rouge, LA 70803 | 2006-07-04 |
| 1295373025 | Jacqueline Casey Crouch | Student in an Organized Health Care Education/Training Program | North Stadium Drive Athletics Administration Building, Baton Rouge, LA 70803-0001 | 2019-12-11 |
| 1013552512 | Kelly Stephens | Specialist/Technologist | 1 North Stadium Dr, Baton Rouge, LA 70803-0001 | 2019-11-08 |
| 1962062729 | Maria Berthiaume | Physical Medicine & Rehabilitation | Lsu Broussard Center for Athletic Training, Baton Rouge, LA 70803-0001 | 2019-06-14 |
| Find all providers in zip 70803 | ||||
| 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 |
| 1639610785 | Amy Douglass | Pharmacist | 9026 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2432 | 2017-03-09 |
| 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 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70803 |
Please comment or provide details below to improve the information on MS. CHERYL LARRIEU BOURG.
| 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.