Individual provider Active NPI

Joseph Troy Tate, BS

  • Pharmacist
  • Lake Charles, LA
National Provider Identifier
1174845309
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14351 Issued in LA
Practice address
6200 Leslie Lane
Lake Charles, LA 70615-4772
Phone
(877) 264-8060
Fax
(888) 811-4564
NPI assigned
Feb 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14351 LA Primary

Addresses

Primary practice location

6200 Leslie Lane
Lake Charles, LA 70615-4772

Mailing address

6200 Leslie Lane
Lake Charles, LA 70615-4772
Phone (877) 264-8060

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
14351LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brothers Pharmacy LLC Current Accepting new patients

Locations

6200 Leslie Ln
Lake Charles, LA 70615
Phone (337) 602-9650

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1174845309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 LESLIE LANE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154772",
            "telephone_number": "877-264-8060",
            "fax_number": "888-811-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LESLIE LANE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154772",
            "telephone_number": "877-264-8060",
            "fax_number": "888-811-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JOSEPH",
        "middle_name": "TROY",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2022-02-28",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "14351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.