Active NPI
Letrece D Scott, PHARMD
- Pharmacist
- Destrehan, LA
National Provider Identifier
1336456912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17690
- Practice address
- 14 Hermitage CT
Destrehan, LA 70047-3625 - Phone
- (770) 866-3291
- NPI assigned
- Sep 2, 2010
- Last updated
- Sep 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17690 | LA | Primary |
| Pharmacist | 183500000X | 23563 | GA |
Addresses
Primary practice location
14 Hermitage CT
Destrehan, LA 70047-3625
Mailing address
14 Hermitage CT
Destrehan, LA 70047-3625
Phone (770) 866-3291
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 |
|---|---|---|---|
| 23563 | GA | MD | Pharmacist |
| 17690 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1336456912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 HERMITAGE CT",
"city": "DESTREHAN",
"state": "LA",
"postal_code": "700473625",
"telephone_number": "770-866-3291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 HERMITAGE CT",
"city": "DESTREHAN",
"state": "LA",
"postal_code": "700473625",
"telephone_number": "770-866-3291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "LETRECE",
"middle_name": "D",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17690",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "23563",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Destrehan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.