Individual provider Active NPI

Terry James Veillon Jr., PHARMD

  • Pharmacist
  • Lafayette, LA
National Provider Identifier
1316276397
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18988 Issued in LA
Practice address
104 Darwin Cir
Lafayette, LA 70508-7110
Phone
(337) 296-1384
Fax
(337) 889-3172
NPI assigned
Dec 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18988 LA Primary

Addresses

Primary practice location

104 Darwin Cir
Lafayette, LA 70508-7110

Mailing address

104 Darwin Cir
Lafayette, LA 70508-7110
Phone (337) 296-1382

Other identifiers 1

IdentifierTypeStateIssuer
1804690MedicaidLA

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

LicenseStateTypeSpecialty
18988LAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1316276397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DARWIN CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087110",
            "telephone_number": "337-296-1382",
            "fax_number": "337-889-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DARWIN CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087110",
            "telephone_number": "337-296-1384",
            "fax_number": "337-889-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEILLON",
        "first_name": "TERRY",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "18988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1804690",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.