JACQUELINE KIMBELL WEAVER (NPI# 1669720637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669720637 |
| Entity Type | Individual |
| Full Name | JACQUELINE KIMBELL WEAVER |
| Credential | RPH |
| Practice Address |
1208 Homer Rd Minden LA 71055-3082 |
| Mailing Address |
300 Michael Trl Minden LA 71055-7631 |
| Practice Telephone | 3183711292 |
| Mailing Telephone | 3185537136 |
| Enumeration Date | 2012-08-26 |
| Last Update Date | 2012-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15301 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588008510 | Jacqueline R Weaver | Clinical Neuropsychologist | 2200 Kernan Dr Ofc 1219, Baltimore, MD 21207-6665 | 2013-04-21 |
| 1407097702 | Jacqueline Christine Weaver | Chiropractor | 4526 Buffalo Gap Rd, Abilene, TX 79606-2704 | 2009-03-16 |
| 1508347196 | Jacqueline S Weaver | Physical Therapy Assistant | 149 Klattenhoff Ln, Hutto, TX 78634-4638 | 2018-08-22 |
| 1336560879 | Jacqueline Weaver | Nurse Practitioner | 555 N Duke St, Lancaster, PA 17602-2250 | 2013-12-31 |
| 1538417167 | Jacqueline La Barbera Weaver | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2012-08-29 |
| 1154510485 | Jacqueline Weaver | Case Manager/Care Coordinator | 210 Manor St, Marion, AR 72364-1936 | 2007-10-23 |
| 1902946890 | Jacqueline Weaver | Emergency Medicine | 2215 Burdett Ave, Troy, NY 12180-2466 | 2007-02-08 |
| Street Address |
1208 HOMER RD |
| City | MINDEN |
| State | LA |
| Zip Code | 71055-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356373393 | Freds Stores of Tennessee Inc | Pharmacy | 1208 Homer Rd, Minden, LA 71055-3082 | 2006-07-07 |
| 1467738369 | Christy Leann Morales | Pharmacist | 1208 Homer Rd, Minden, LA 71055-3082 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| Find all providers in zip 71055 | ||||
| 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 |
|---|---|---|---|---|
| 1518407188 | Gregory Loye Jones | Pharmacist | 1252 Highway 159, Minden, LA 71055-5708 | 2017-03-02 |
| 1598123465 | Annetta M. Walker | Pharmacist | 214 Homer Road, Minden, LA 71055 | 2016-02-05 |
| 1134494735 | Richard John Foster | Pharmacist | 1405 N Santa Barbara Dr, Minden, NV 89423-7516 | 2012-03-14 |
| 1588949317 | Kelly Hackworth | Pharmacist | 606 Homer Road, Minden, LA 71055 | 2011-10-12 |
| 1508147851 | Denise Morgan Reagan | Pharmacist | 1118 Homer Rd, Minden, LA 71055-3028 | 2011-08-31 |
| 1548568660 | Karin Nielsen Ryan | Pharmacist | 214 Homer Rd, Minden, LA 71055-2843 | 2011-03-14 |
| 1730497397 | Anne Ware Vining | Pharmacist | 1405 Whispering Pines Dr, Minden, LA 71055-8949 | 2010-09-16 |
| 1619506938 | Steve Maddry | Pharmacist | 10600 Industrial Dr, Minden, LA 71055-5105 | 2020-04-07 |
| 1457900771 | Morgan Leanne Johnson | Pharmacist | 606 Homer Rd, Minden, LA 71055-2910 | 2019-09-09 |
| 1649732546 | Samantha Jo Mccartney | Pharmacist | 419 N Colorado Ave, Minden, NE 68959-1654 | 2019-04-01 |
| Find all providers in MINDEN | ||||
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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.