Janet Trahan, RPH
Individual provider Active NPI Pharmacist · Independence, LA
NPI 1104131002 · NPPES record last updated Aug 16, 2010
Key facts
- NPI
- 1104131002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15060 (LA)
- Practice address
- 13351 E Alessi Rd
Independence, LA 70443-2398 - Phone
- (985) 878-5555
- NPI assigned
- Aug 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15060 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannons Discount Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15060 | LA | Yes |
Addresses
Primary practice location
13351 E Alessi Rd
Independence, LA 70443-2398
Mailing address
23 Echezeaux Dr
Kenner, LA 70065-1115
Phone (504) 461-9790
Other providers in Independence, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.