Daniel Ross Benoit, PHARMD
Individual provider Active NPI Pharmacist · Lafayette, LA
NPI 1235499583 · NPPES record last updated Sep 17, 2012
Key facts
- NPI
- 1235499583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PST.019842 (LA)
- Practice address
- 2700 Johnston St
Lafayette, LA 70503-3242 - Phone
- (337) 232-9317
- NPI assigned
- May 21, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.019842 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrif T Way Pharmacy of Louisiana Opelousas South Inc | Current | Accepting new patients | |
| Walgreen Louisiana Co Inc | Past | Accepting new patients | |
| Walgreen Louisiana Co Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.019842 | LA | Yes |
Addresses
Primary practice location
2700 Johnston St
Lafayette, LA 70503-3242
Mailing address
289 Summer Ridge Loop
Sunset, LA 70584-5057
Phone (337) 654-5659
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.