Individual provider Active NPI

Tania Trosclair Portier, RPH

  • Pharmacist
  • Thibodaux, LA
National Provider Identifier
1033425632
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15092 Issued in LA
Practice address
195 N Canal Blvd
Thibodaux, LA 70301-2995
Phone
(985) 447-2456
Fax
(985) 446-6572
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15092 LA Primary

Addresses

Primary practice location

195 N Canal Blvd
Thibodaux, LA 70301-2995

Mailing address

195 N Canal Blvd
Thibodaux, LA 70301-2995
Phone (985) 447-2456

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

LicenseStateTypeSpecialty
15092LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Louisiana Co Inc Past Accepting new patients
Walgreen Louisiana Co Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1033425632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012995",
            "telephone_number": "985-447-2456",
            "fax_number": "985-446-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012995",
            "telephone_number": "985-447-2456",
            "fax_number": "985-446-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTIER",
        "first_name": "TANIA",
        "middle_name": "TROSCLAIR",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.