Active NPI
Brad W Monnerjahn, PHARM D, RPH
- Pharmacist
- Amite, LA
National Provider Identifier
1316057235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17812
- Practice address
- 804 W Oak St
Amite, LA 70422-2700 - Phone
- (985) 748-6847
- Fax
- (985) 748-6763
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17812 | LA | Primary |
Addresses
Primary practice location
804 W Oak St
Amite, LA 70422-2700
Mailing address
2080 Angela Dr
Ponchatoula, LA 70454-3762
Phone (504) 231-3536
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17812 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316057235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 ANGELA DR",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704543762",
"telephone_number": "504-231-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 W OAK ST",
"city": "AMITE",
"state": "LA",
"postal_code": "704222700",
"telephone_number": "985-748-6847",
"fax_number": "985-748-6763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONNERJAHN",
"first_name": "BRAD",
"middle_name": "W",
"credential": "PHARM D, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amite, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.