Active NPI
Clarence Emanuel Venson
- Pharmacist
- Gretna, LA
National Provider Identifier
1174214720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024775
- Practice address
- 2001 Carol Sue Ave
Gretna, LA 70056-4445 - Phone
- (504) 366-1535
- NPI assigned
- May 16, 2023
- Last updated
- May 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.024775 | LA | Primary |
Addresses
Primary practice location
2001 Carol Sue Ave
Gretna, LA 70056-4445
Mailing address
1037 Lee St
Marrero, LA 70072-2349
Phone (504) 615-0444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.024775 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2001 Carol Sue Ave
Gretna, LA 70056
Phone (504) 366-1535
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1174214720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 LEE ST",
"city": "MARRERO",
"state": "LA",
"postal_code": "700722349",
"telephone_number": "504-615-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CAROL SUE AVE",
"city": "GRETNA",
"state": "LA",
"postal_code": "700564445",
"telephone_number": "504-366-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENSON",
"first_name": "CLARENCE",
"middle_name": "EMANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.