Michelle Doucette, PHARM D
Individual provider Active NPI Pharmacist · Avondale, LA
NPI 1285744375 · NPPES record last updated Sep 19, 2008
Key facts
- NPI
- 1285744375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16524 (LA)
- Practice address
- 3001 Highway 90 W
Avondale, LA 70094-2758 - Phone
- (504) 437-0650
- Fax
- (504) 437-0541
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 16524 | LA | MD | Pastoral Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16524 | LA | Yes |
Addresses
Primary practice location
3001 Highway 90 W
Avondale, LA 70094-2758
Mailing address
2829 Amazon St
New Orleans, LA 70114-6401
Phone (504) 813-2025
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1262803 | Medicaid | LA |
Other providers in Avondale, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2008. 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.