Jeremy Powell, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

16108 Issued in LA

Practice address

5101 Shreveport Hwy
Pineville, LA 71360-3525

Phone

(318) 769-9751

NPI assigned

Aug 12, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tioga Pharmacy LLC

  • Community/Retail Pharmacy
  • Pineville, LA
  • NPI 1942773213
  NPD Authorized official
• Walgreen Co

  • Pharmacy
  • Marksville, LA
  • NPI 1881845493
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1104131200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713603525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713603525",
            "telephone_number": "318-769-9751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 S Main St",
            "address_purpose": "LOCATION",
            "city": "Marksville",
            "state": "LA",
            "postal_code": "713513052",
            "country_code": "US",
            "telephone_number": "318-240-7149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JEREMY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2023-10-27",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plantation Management Company, LLC
• Angela B Ponthier, AU.D.
• Dane Christopher Ponthier, PA-C
• Micah Poole
• Francis Joseph Powell, PH.D. , MSW, BSW,
• Rena D Powell, MSW/LCSW
• Tracey Ann Poydras
• Veronica Pray, RD
• William David Prestridge, DPT
• Prime Care Transportation LLC

• Pharmacist in Pineville, LA
• Providers in Pineville, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.