Active NPI
Edwin G. Blanche, RPH
- Pharmacist
- Saint Joseph, LA
National Provider Identifier
1053667030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10263
- Practice address
- 705 Plank Road
Saint Joseph, LA 71366 - Phone
- (318) 766-4563
- Fax
- (318) 766-4522
- NPI assigned
- Jul 27, 2012
- Sex
- Male
- 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 | 10263 | LA | Primary |
Addresses
Primary practice location
705 Plank Road
Saint Joseph, LA 71366
Mailing address
PO Box 5
Saint Joseph, LA 71366-0005
Phone (318) 766-4563
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 |
|---|---|---|---|
| 10263 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1053667030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "SAINT JOSEPH",
"state": "LA",
"postal_code": "713660005",
"telephone_number": "318-766-4563",
"fax_number": "318-766-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 PLANK ROAD",
"city": "SAINT JOSEPH",
"state": "LA",
"postal_code": "71366",
"telephone_number": "318-766-4563",
"fax_number": "318-766-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHE",
"first_name": "EDWIN",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "10263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.