Active NPI
Donyelle Madison, PHARMD
- Pharmacist
- Alexandria, LA
National Provider Identifier
1306558846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024623
- Practice address
- 812 Belleau Wood Blvd
Alexandria, LA 71303-2584 - Phone
- (318) 625-3769
- NPI assigned
- Dec 15, 2022
- Last updated
- Dec 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 | PST.024623 | LA | Primary |
Addresses
Primary practice location
812 Belleau Wood Blvd
Alexandria, LA 71303-2584
Mailing address
17020 Fountainbleau Dr
Prairieville, LA 70769-5376
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 |
|---|---|---|---|
| PST.024623 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Walmart Pharmacy 10-3727
- Community/Retail Pharmacy
- Alexandria, LA
- NPI 1093111809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1306558846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17020 FOUNTAINBLEAU DR",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707695376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 BELLEAU WOOD BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032584",
"telephone_number": "318-625-3769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "DONYELLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-15",
"last_updated": "2022-12-15",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.