Active NPI
Tammie Koelz, RPH
- Pharmacist
- Lafayette, LA
National Provider Identifier
1013363944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.021504
- Practice address
- 2701 Johnston St
Suite 200
Lafayette, LA 70503-3263 - Phone
- (337) 234-0197
- Fax
- (337) 234-6939
- NPI assigned
- May 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.021504 | LA | Primary |
| Pharmacist | 183500000X | 15384 | AL | |
| Pharmacist | 183500000X | 03317053 | OH | |
| Pharmacist | 183500000X | 051.291424 | IL | |
| Pharmacist | 183500000X | T-010616 | MS |
Addresses
Primary practice location
2701 Johnston St
Suite 200
Lafayette, LA 70503-3263
Mailing address
2701 Johnston St
Suite 200
Lafayette, LA 70503-3263
Phone (337) 234-0197
Other names 1
- Tammie Fisher Koelz
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15384 | AL | MD | Pharmacist |
| 051.291424 | IL | MD | Pharmacist |
| PST.021504 | LA | MD | Pharmacist |
| T-010616 | MS | MD | Pharmacist |
| 03317053 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1013363944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 JOHNSTON ST",
"address_2": "SUITE 200",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033263",
"telephone_number": "337-234-0197",
"fax_number": "337-234-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 JOHNSTON ST",
"address_2": "SUITE 200",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033263",
"telephone_number": "337-234-0197",
"fax_number": "337-234-6939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOELZ",
"first_name": "TAMMIE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.021504",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15384",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03317053",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.291424",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-010616",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMIE",
"last_name": "KOELZ",
"middle_name": "FISHER",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.