Colin John Hebert, PHARMD
Individual provider Active NPI Pharmacist · Rayne, LA
NPI 1114756384 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1114756384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 025379 (LA)
- Practice address
- 301 S Adams Ave
Rayne, LA 70578-5837 - Phone
- (337) 334-2117
- NPI assigned
- Jul 29, 2024
- Sex
- Male
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025379 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mouton Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 025379 | LA | Yes |
Addresses
Primary practice location
301 S Adams Ave
Rayne, LA 70578-5837
Mailing address
157 Nation Rd # 2
Rayne, LA 70578-7800
Phone (337) 384-7182
Other providers in Rayne, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. 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.