MR. JODY AUCOIN (NPI# 1962549394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962549394 |
| Entity Type | Individual |
| Full Name | MR. JODY AUCOIN |
| Credential | P.D. |
| Practice Address |
4105 Kirkman St Lake Charles LA 70607-4603 |
| Practice Telephone | 3374758735 |
| Practice Fax Number | 3374758636 |
| Mailing Telephone | 3374758735 |
| Mailing Fax Number | 3374758636 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
14360 | LA | Pharmacy Service Providers |
| Street Address |
4105 KIRKMAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70607-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578517439 | Craig D. Waggoner | Psychologist | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2006-05-22 |
| 1659988343 | Katie Bruce | Pharmacist | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2020-09-26 |
| 1598245623 | Imperial Calcasieu Human Services Authority | Clinic/Center | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2018-08-17 |
| 1730698838 | Rebecca Becky Perry | Social Worker | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2017-09-21 |
| 1538566336 | Troy Barrow | Registered Nurse | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-11-24 |
| 1992101240 | Clint Dupre | Licensed Practical Nurse | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-11-14 |
| 1386057891 | Vicki Ann Lebleu | Nurse Practitioner | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-06-03 |
| 1750792248 | Genoa Healthcare, LLC | Pharmacy | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-05-19 |
| 1376971200 | Lexi Berryhill | Social Worker | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2013-11-01 |
| 1700127487 | Dana Young | Counselor | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2013-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1467003822 | Sarah Jane Walley | Specialist/Technologist | 800 E Mcneese Street, Lake Charles, LA 70607 | 2019-09-26 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1851861330 | Shannon Marie Melvin | Specialist/Technologist | 800 East Mcneese, Lake Charles, LA 70607 | 2018-11-28 |
| 1326517699 | Vincent Michael Williams | Specialist/Technologist | 800 East Mcneese St, Lake Charles, LA 70607 | 2018-11-16 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1194081414 | Clint Nickolas Lincoln | Family Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607 | 2012-04-11 |
| 1295976652 | John Leroy Speer | Dentist | 3425 Louisiana Ave., Lake Charles, LA 70607 | 2009-03-16 |
| Find all providers in zip 70607 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679627343 | Elizabeth Haydel Bostick | Pharmacist | 210 State Street, Region IIi Pharmacy, New Orleans, LA 70118 | 2007-01-22 |
| 1174180293 | Thomas J Maestri | Pharmacist | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2019-05-23 |
| 1801350053 | Raymond Strong | Pharmacist | 5610 Read Blvd, New Orleans, LA 70127-3106 | 2019-01-22 |
| 1033235940 | Leslie Frank Kirkland | Pharmacist | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2007-03-22 |
| 1326187691 | Karen O Chapman | Pharmacist | 4800 S Grand St, Monroe, LA 71202-6412 | 2007-02-05 |
| 1295874550 | Kelly Banks | Pharmacist | 4800 S Grand St, Monroe, LA 71202-6412 | 2007-02-05 |
| 1164575049 | Patrick Willie Roberson | Pharmacist | 210 State St, New Orleans, LA 70118-5735 | 2007-01-22 |
| 1710030895 | Greer Adams | Pharmacist | 210 State St, Region 3 Pharmacy, New Orleans, LA 70118-5735 | 2007-01-19 |
| City | LAKE CHARLES |
| Zip Code | 70607 |
Please comment or provide details below to improve the information on MR. JODY AUCOIN.
| 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.