Active NPI
Salvador Norman Depaula
- Pharmacist
- Hammond, LA
National Provider Identifier
1003198078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13429
- Practice address
- 2300 W Thomas St
Hammond, LA 70401-2830 - Phone
- (985) 345-6840
- NPI assigned
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13429 | LA | Primary |
Addresses
Primary practice location
2300 W Thomas St
Hammond, LA 70401-2830
Mailing address
10124 Jenkins LN
Hammond, LA 70403-2931
Phone (985) 974-3754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13429 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1003198078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10124 JENKINS LN",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704032931",
"telephone_number": "985-974-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W THOMAS ST",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704012830",
"telephone_number": "985-345-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPAULA",
"first_name": "SALVADOR",
"middle_name": "NORMAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "13429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.