Active NPI
Jean W Louisma, PHARMD
- Pharmacist
- Dothan, AL
National Provider Identifier
1295347458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21183
- Practice address
- 1060 S Oates St
Dothan, AL 36301-3514 - Phone
- (250) 281-2520
- Fax
- (334) 678-8380
- NPI assigned
- Aug 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60177 | FL | |
| Pharmacist | 183500000X | 21183 | AL | Primary |
Addresses
Primary practice location
1060 S Oates St
Dothan, AL 36301-3514
Mailing address
1060 S Oates St
Dothan, AL 36301-3514
Phone (250) 281-2520
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21183 | AL | MD | Pharmacist |
| 60177 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1295347458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 S OATES ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013514",
"telephone_number": "250-281-2520",
"fax_number": "334-678-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 S OATES ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013514",
"telephone_number": "250-281-2520",
"fax_number": "334-678-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUISMA",
"first_name": "JEAN",
"middle_name": "W",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "60177",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.