Active NPI
Jayne Wallace Dishman, RPH
- Pharmacist
- New Iberia, LA
National Provider Identifier
1174516272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15565
- Practice address
- 308 N Lewis St
New Iberia, LA 70563-2843 - Phone
- (337) 364-7671
- Fax
- (337) 365-0563
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- 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 | 15565 | LA | Primary |
Addresses
Primary practice location
308 N Lewis St
New Iberia, LA 70563-2843
Mailing address
607 Oak Manor Dr
New Iberia, LA 70563-2223
Phone (337) 369-9783
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15565 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174516272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 OAK MANOR DR",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705632223",
"telephone_number": "337-369-9783",
"fax_number": "337-365-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N LEWIS ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705632843",
"telephone_number": "337-364-7671",
"fax_number": "337-365-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISHMAN",
"first_name": "JAYNE",
"middle_name": "WALLACE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.