Active NPI
Patrick a Juneau, III, MD, Apmc
- Non-Pharmacy Dispensing Site
- Lafayette, LA
National Provider Identifier
1023570348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- PATRICK A JUNEAU, III, MD, APMC
- Practice address
- 1103 Kaliste Saloom Rd Ste 206
Lafayette, LA 70508-5784 - Phone
- (337) 267-1319
- NPI assigned
- Apr 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tabitha Sayles
- Title
- Credentialing Specialist
- Phone
- (864) 642-0884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
1103 Kaliste Saloom Rd Ste 206
Lafayette, LA 70508-5784
Mailing address
PO Box 3328
Bentonville, AR 72712-7712
Phone (864) 642-0884
National Provider Directory
National Provider DirectoryLocations
1103 Kaliste Saloom Rd
Ste 206
Lafayette, LA 70508
Phone (337) 267-1319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554336000000",
"number": "1023570348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3328",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127712",
"telephone_number": "864-642-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 KALISTE SALOOM RD STE 206",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705085784",
"telephone_number": "337-267-1319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK A JUNEAU, III, MD, APMC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-04",
"status": "A",
"authorized_official_last_name": "SAYLES",
"authorized_official_first_name": "TABITHA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "864-642-0884",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.