Active NPI
Demi Maria Peralta, PHARMD
- Pharmacist
- Gretna, LA
National Provider Identifier
1013696889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024835
- Practice address
- 436 Lapalco Blvd
Gretna, LA 70056-7335 - Phone
- (504) 393-7000
- NPI assigned
- Jul 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.024835 | LA | Primary |
Addresses
Primary practice location
436 Lapalco Blvd
Gretna, LA 70056-7335
Mailing address
2917 Woods Dr
Violet, LA 70092-4009
Phone (504) 579-6391
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.024835 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lapalco Drugs LLC | Current | Accepting new patients |
Locations
436 Lapalco Blvd
Gretna, LA 70056
Phone (504) 393-7000
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Gretna, LA
- NPI 1851716104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1013696889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 WOODS DR",
"city": "VIOLET",
"state": "LA",
"postal_code": "700924009",
"telephone_number": "504-579-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 LAPALCO BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567335",
"telephone_number": "504-393-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "DEMI",
"middle_name": "MARIA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.