Mustafa Benrahla, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

020907 Issued in LA

Practice address

2825 Ryan St
Lake Charles, LA 70601-7329

Phone

(337) 494-1590

Fax

(337) 437-7639

NPI assigned

Aug 7, 2017

Last updated

Aug 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Alawrass LLC

  dba Shifa Pharmacy

  • Community/Retail Pharmacy
  • Lake Charles, LA
  • NPI 1073079026
  Authorized official Same address or phone

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1073038543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 ERNEST ST APT 345",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018479",
            "telephone_number": "504-931-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017329",
            "telephone_number": "337-494-1590",
            "fax_number": "337-437-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENRAHLA",
        "first_name": "MUSTAFA",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "020907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin J Duplantis DDS Inc
• Adam Taylor Bennett
• Carlie Bennett, MS,CCC-SLP
• Phyllis Bennett, LPC
• Rebecca S Benoit-Leday, PROVIDER
• Latasha Benson-Lee
• Tanisha Benton
• Frances Bercier, D.D.S.
• John Bercier, DO
• John Theodore Bercier, DDS

• Pharmacist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.