Lyle Bulger, PHARMACIST

Primary specialty

Nutrition Support PharmacistTaxonomy code 1835N1003X

License

8889 Issued in LA

Practice address

1635 Hwy 3125
Gramercy, LA 70052

Phone

(225) 869-3651

Fax

(225) 968-8826

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gem Drugs Gramercy Inc

  dba Gem Drugs Gramercy

  • Community/Retail Pharmacy
  • Gramercy, LA
  • NPI 1457420838
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1033464714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HWY 3125",
            "address_2": "P.O. BOX 1511",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "70052",
            "telephone_number": "225-869-3651",
            "fax_number": "225-968-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HWY 3125",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "70052",
            "telephone_number": "225-869-3651",
            "fax_number": "225-968-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULGER",
        "first_name": "LYLE",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "LA",
            "license": "8889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1917939",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiaa C Allen
• Arlette T. Armont
• Brignac Physical Therapy, LLC
• Chantel Brignac, P.T., A.T.C.
• Caroline Brown
• Susan Porteous Campbell
• Ashley Hines Cashio
• Henry Hubert Cazentre, R.PH.
• Tanya Tennielle Charles-Morris
• Cypress PT SJP LLC

• Pharmacist in Gramercy, LA
• Providers in Gramercy, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.