Amanda Moore Trahan, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

30011620 Issued in LA

Practice address

14086 Airline Hwy Apt 2423
Gonzales, LA 70737-0623

Phone

(803) 610-5133

NPI assigned

Mar 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1134878184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14086 AIRLINE HWY APT 2423",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707370623",
            "telephone_number": "803-610-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14086 AIRLINE HWY APT 2423",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707370623",
            "telephone_number": "803-610-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "AMANDA",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "30011620",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "30011620",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "LA",
            "license": "30011620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TJ&M Specialty Services LLC
• Christopher Breckenridge Todd, MHSA
• Jonathan Chase Toland, DDS
• Dayna G Toscano, NP
• Elizabeth Tousinau
• Transporting on Purpose
• Edwin Fredrick Trauth IV, DDS
• Chris T Trevino, MD
• Paul B Trisler, M.D.
• Megan Tuminello, APRN

• Pharmacy Technician in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Pharmacy Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.