Active NPI
Alexis Jade Nelson
- Pharmacy Technician
- Terrytown, LA
National Provider Identifier
1205426798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 013950
- Practice address
- 888 Terry Pkwy
Terrytown, LA 70056-5270 - Phone
- (504) 582-0322
- NPI assigned
- Jan 19, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 013950 | LA | Primary |
Addresses
Primary practice location
888 Terry Pkwy
Terrytown, LA 70056-5270
Mailing address
3460 Tambour Dr
Marrero, LA 70072-5368
Phone (504) 919-2424
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CVSconnect | Direct |
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 |
|---|---|---|---|
| 013950 | LA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy LLC | Current | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
Locations
888 Terry Pkwy
Terrytown, LA 70056
Phone (504) 392-1551
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": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1205426798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3460 TAMBOUR DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "700725368",
"telephone_number": "504-919-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 TERRY PKWY",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "700565270",
"telephone_number": "504-582-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ALEXIS",
"middle_name": "JADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "LA",
"license": "013950",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CVSconnect",
"affiliation": "N",
"endpointDescription": "CVSpharmacy",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Pharmacy",
"address_1": "888 Terry Pkwy",
"city": "Terrytown",
"state": "LA",
"country_code": "US",
"postal_code": "700565270",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Terrytown, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.