OUR LADY OF THE LAKE HOSPITAL (NPI# 1831605062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831605062 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF THE LAKE HOSPITAL |
| Other Organization Name | MIDCITY PHARMACY |
| Practice Address |
1401 N Foster Dr Baton Rouge LA 70806-1818 |
| Practice Telephone | 2259879107 |
| Practice Fax Number | 2259879104 |
| Mailing Telephone | 2259879107 |
| Mailing Fax Number | 2259879104 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | SCOTT C WESTER (CEO) |
| Authorized Official Telephone | 2257658802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.007564-IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2205641 | 05 | |
| PK | 2175083 | 01 |
| Other Name | Type Code |
|---|---|
| Midcity Pharmacy | Doing Business As Name - Organization |
| Street Address |
1401 N FOSTER DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871593533 | Sheila S. Perkins | Nurse Practitioner | 1401 N Foster Dr, Family Practice Clinic, Baton Rouge, LA 70806-1818 | 2005-07-26 |
| 1972052520 | Our Lady of The Lake Physician Group, LLC | Clinic/Center | 1401 N Foster Dr, Baton Rouge, LA 70806-1818 | 2016-09-23 |
| 1083071856 | Juliet Blades | Pharmacist | 1401 N Foster Dr, Baton Rouge, LA 70806-1818 | 2016-01-25 |
| 1174980940 | Jeffrey Bonaventure | Pharmacist | 1401 N Foster Dr, Baton Rouge, LA 70806-1818 | 2016-01-25 |
| 1174980064 | Adria Kerr | Pharmacist | 1401 N Foster Dr, Baton Rouge, LA 70806-1818 | 2016-01-22 |
| 1639580640 | Amanda Schittone | Nurse Practitioner | 1401 N Foster Dr, Baton Rouge, LA 70806 | 2014-05-13 |
| 1396184537 | Neva White Lipscomb | Nurse Practitioner | 1401 N Foster Dr, Baton Rouge, LA 70806-1818 | 2013-06-20 |
| 1669740239 | Michele Julia Musso | Nurse Practitioner | 1401 N Foster Dr, Baton Rouge, LA 70806-1818 | 2011-12-09 |
| 1942450945 | Samaki Sanders Green | Nurse Practitioner | 1401 N Foster Dr, Baton Rouge, LA 70806-1818 | 2008-09-25 |
| 1609034859 | Trucly Chung Vu | Podiatrist | 1401 N Foster Dr, Lsu Diabetes Foot Program, Baton Rouge, LA 70806-1818 | 2008-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| 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 |
|---|---|---|---|---|
| 1639779788 | Harvey Lee Smith Jr. | Pharmacy | 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 | 2020-10-28 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1518590769 | La Farmacis, LLC | Pharmacy | 9301 Burbank Dr, Baton Rouge, LA 70820-8604 | 2020-02-17 |
| 1427695618 | Texas Digestive Disease Consultants, Pllc | Pharmacy | 9103 Jefferson Hwy Ste 200, Baton Rouge, LA 70809-2440 | 2019-12-06 |
| 1912552167 | Healthlogic Family Pharmacy LLC | Pharmacy | 12351 Industriplex Blvd Ste 1, Baton Rouge, LA 70809-5125 | 2019-08-05 |
| 1720545171 | Ptg2, LLC | Pharmacy | 6251 Perkins Rd Ste C, Baton Rouge, LA 70808-4167 | 2019-02-21 |
| 1548734874 | Apothecare Pharmacy Baton Rouge | Pharmacy | 2370 Towne Center Blvd Ste 103, Baton Rouge, LA 70806-8172 | 2019-01-21 |
| 1225512767 | Louisiana State University | Pharmacy | 1 North Stadium Drive, Broussard Center for Athletic Training, Baton Rouge, LA 70803 | 2018-09-20 |
| 1356878839 | Healthlogic Pharmacy Solutions 2 LLC | Pharmacy | 11441 Industriplex Blvd Ste 150, Baton Rouge, LA 70809-4299 | 2017-05-16 |
| 1245777366 | Red Stick Pharmacy LLC | Pharmacy | 18181 Jefferson Hwy Ste 101, Baton Rouge, LA 70817-7424 | 2017-01-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.