Active NPI
Mara F Powajbo
- Pharmacist
- Metairie, LA
National Provider Identifier
1194098376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14395
- Practice address
- 2940 Veterans Memorial Blvd
Metairie, LA 70002-6042 - Phone
- (504) 834-5198
- Fax
- (504) 833-0682
- NPI assigned
- Feb 17, 2012
- 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 | 14395 | LA | Primary |
Addresses
Primary practice location
2940 Veterans Memorial Blvd
Metairie, LA 70002-6042
Mailing address
109 Nancy CT
Belle Chasse, LA 70037-4167
Phone (504) 450-9259
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 |
|---|---|---|---|
| 14395 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1194098376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 NANCY CT",
"city": "BELLE CHASSE",
"state": "LA",
"postal_code": "700374167",
"telephone_number": "504-450-9259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 VETERANS MEMORIAL BLVD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700026042",
"telephone_number": "504-834-5198",
"fax_number": "504-833-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWAJBO",
"first_name": "MARA",
"middle_name": "F",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-17",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.