Active NPI
Anita Rahman
- Pharmacist
- Lake Charles, LA
National Provider Identifier
1336705235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.022645
- Practice address
- 2010 Country Club Rd
Lake Charles, LA 70605-5206 - Phone
- (337) 990-4901
- NPI assigned
- May 15, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64145 | TX | |
| Pharmacist | 183500000X | PST.022645 | LA | Primary |
Addresses
Primary practice location
2010 Country Club Rd
Lake Charles, LA 70605-5206
Mailing address
5351 E Crestview Dr
Lake Charles, LA 70605-5278
Phone (337) 540-2624
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.022645 | LA | MD | Pharmacist |
| 64145 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1336705235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5351 E CRESTVIEW DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055278",
"telephone_number": "337-540-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 COUNTRY CLUB RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055206",
"telephone_number": "337-990-4901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "ANITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "64145",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.022645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.