Drew Michael Fields
Individual provider Active NPI Pharmacist · Greenwell Springs, LA
NPI 1104494525 · NPPES record last updated Jun 13, 2021
Key facts
- NPI
- 1104494525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 023879 (LA)
- Practice address
- 6515 Sullivan Rd
Greenwell Springs, LA 70739-3110 - Phone
- (225) 261-5497
- NPI assigned
- Jun 13, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023879 | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 023879 | LA | Yes |
Addresses
Primary practice location
6515 Sullivan Rd
Greenwell Springs, LA 70739-3110
Mailing address
114 Webre Dr
Thibodaux, LA 70301-8047
Phone (985) 518-3528
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Pharmacy |
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All providers in Greenwell Springs, LA · Pharmacist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2021. 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.