Active NPI
Jena Faciane
- Pharmacist
- Gretna, LA
National Provider Identifier
1295147130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017707
- Practice address
- 500 Lafayette St
Gretna, LA 70053-5936 - Phone
- (504) 252-9686
- NPI assigned
- May 27, 2014
- Last updated
- May 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 017707 | LA | Primary |
Addresses
Primary practice location
500 Lafayette St
Gretna, LA 70053-5936
Mailing address
500 Lafayette St
Gretna, LA 70053-5936
Phone (504) 252-9686
Other names 1
- Mrs. Jena Johnson
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 |
|---|---|---|---|
| 017707 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Gretna Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1295147130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LAFAYETTE ST",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535936",
"telephone_number": "504-252-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LAFAYETTE ST",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535936",
"telephone_number": "504-252-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACIANE",
"first_name": "JENA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "017707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENA",
"last_name": "JOHNSON",
"prefix": "MRS.",
"credential": "PHARM D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Gretna, LA
- Excellent Medical Supply and Equipment
- Expressway Pharmacy
- Expressway Pharmacy, LLC (Expressway Pharmacy LTC)
- Expressway Urgent Care, LLC (Expressway Urgent Care)
- Extensions of Life LLC
- Family Affair Counseling Agency
- Taylor Farrar, AU.D., CCC-A
- Lionel Louis Fascio II, LMSW
- Leslie Maria Faulkner, DNP, FNP-BC
- Preston J Favorite
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.