Individual provider Active NPI

Phillip Cole Prejean, PHARMD

  • Pharmacist
  • Lake Charles, LA
National Provider Identifier
1225964661
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.023445 Issued in LA
Practice address
518 Pujo St
Lake Charles, LA 70601-4365
Phone
(337) 761-5397
Fax
(337) 761-0831
NPI assigned
Jun 23, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.023445 LA Primary

Addresses

Primary practice location

518 Pujo St
Lake Charles, LA 70601-4365

Mailing address

518 Pujo St
Lake Charles, LA 70601-4365
Phone (337) 761-5397

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

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1225964661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 PUJO ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014365",
            "telephone_number": "337-761-5397",
            "fax_number": "337-761-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 PUJO ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014365",
            "telephone_number": "337-761-5397",
            "fax_number": "337-761-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "PHILLIP",
        "middle_name": "COLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.023445",
            "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 Jun 23, 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.

Verify at the official NPI Registry.