Active NPI
Jeanne J Bertrand, RPH, MA
- Pharmacist
- Gonzales, LA
National Provider Identifier
1053975649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014847
- Practice address
- 2001 S Burnside Ave
Gonzales, LA 70737-4638 - Phone
- (225) 644-5641
- Fax
- (225) 644-0353
- NPI assigned
- Apr 29, 2019
- 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 | 014847 | LA | Primary |
Addresses
Primary practice location
2001 S Burnside Ave
Gonzales, LA 70737-4638
Mailing address
2001 S Burnside Ave
Gonzales, LA 70737-4638
Phone (225) 644-5641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA.004028 | Other | LA | MEDICATION ADMINISTRATION |
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
- Master of Arts, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014847 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bertrands Pharmacy Inc | Current | Accepting new patients |
Locations
2001 S Burnside Ave
Gonzales, LA 70737
Phone (225) 644-5622
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Gonzales, LA
- NPI 1518071596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1053975649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S BURNSIDE AVE",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374638",
"telephone_number": "225-644-5641",
"fax_number": "225-644-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BURNSIDE AVE",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374638",
"telephone_number": "225-644-5641",
"fax_number": "225-644-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAND",
"first_name": "JEANNE",
"middle_name": "J",
"credential": "RPH, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "014847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICATION ADMINISTRATION",
"identifier": "MA.004028",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.