Active NPI
Nancy Odom, RPH
- Pharmacist
- Lafayette, LA
National Provider Identifier
1306443932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14796
- Practice address
- 505 Bertrand Dr
Lafayette, LA 70506-5542 - Phone
- (337) 893-9274
- NPI assigned
- Oct 6, 2020
- Last updated
- Jul 25, 2023
- 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 | 14796 | LA | Primary |
Addresses
Primary practice location
505 Bertrand Dr
Lafayette, LA 70506-5542
Mailing address
113 Soho Cir
Lafayette, LA 70508-4237
Phone (337) 303-6103
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14796 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1306443932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 SOHO CIR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705084237",
"telephone_number": "337-303-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 BERTRAND DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705065542",
"telephone_number": "337-893-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "NANCY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-06",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
- Ochsner Clinic LLC (Ochsner Health Center-Corporate Boulevard)
- Ochsner Clinic LLC (Ochsner Health Center - Hepatology)
- Ochsner Clinic LLC (LGOC Ochsner Spine Surgery)
- Kenneth Odinet, MD
- Michael L Odinet, M.D.
- Scott T Odom, D.D.S.
- Linda K Oge, M.D.
- Amy Denise Ohlenforst
- Jessica Okafor I
- Kirsten Olander, BCBA, LBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.