Active NPI
Dudley Pellegrin Jr.
- Pharmacist
- Houma, LA
National Provider Identifier
1013326206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.011345
- Practice address
- 933 Grand Caillou Rd
Houma, LA 70363-5705 - Phone
- (985) 917-0121
- NPI assigned
- Aug 13, 2014
- Last updated
- Oct 6, 2026
- Sex
- Male
- Sole proprietor
- No
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 | PST.011345 | LA | Primary |
Addresses
Primary practice location
933 Grand Caillou Rd
Houma, LA 70363-5705
Mailing address
933 Grand Caillou Rd
Houma, LA 70363-5705
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 |
|---|---|---|---|
| PST.011345 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1013326206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 GRAND CAILLOU RD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703635705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 GRAND CAILLOU RD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703635705",
"telephone_number": "985-917-0121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLEGRIN",
"first_name": "DUDLEY",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-13",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.011345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.