Active NPI
Deborah Wells, PHARMD
- Pharmacist
- Deridder, LA
National Provider Identifier
1053785303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021381
- Practice address
- 916 N Pine St
Deridder, LA 70634-2816 - Phone
- (337) 462-2019
- NPI assigned
- Nov 24, 2015
- Last updated
- Nov 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 021381 | LA | Primary |
Addresses
Primary practice location
916 N Pine St
Deridder, LA 70634-2816
Mailing address
916 N Pine St
Deridder, LA 70634-2816
Phone (337) 462-2019
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 |
|---|---|---|---|
| 021381 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1053785303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 N PINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342816",
"telephone_number": "337-462-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 N PINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342816",
"telephone_number": "337-462-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "DEBORAH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-24",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "021381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deridder, LA
- Walgreen Co (Walgreens #10537)
- Christine Walker, M.ED.
- Michael Todd Warren, FNP
- Debra Inez Welch, A.B.O.C. AMERICAN BO
- Jennifer Weldon, RN, LMT
- West Louisiana Health Services Inc (Beauregard Health System)
- West Louisiana Health Services Inc (Beauregard Health System)
- West Louisiana Health Services Inc (Beauregard Memorial Hospital)
- Westwood Manor Nursing Home, LLC (Westwood Manor Nursing Home)
- Zahria Marie White
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.