Lisa H. Waguespack, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

11771 Issued in LA

Practice address

1625 St, Mary Street
Thibodaux, LA 70301

Phone

(985) 493-6981

NPI assigned

Oct 1, 2014

Last updated

Oct 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa H. Hebert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1346643665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ST. MARY STREET",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ST, MARY STREET",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-493-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGUESPACK",
        "first_name": "LISA",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "11771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HEBERT",
            "middle_name": "H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candice Voisin, RN
• Jay Anthony Voisin, CRNA
• Ashley Marcello Waguespack, M.S., L.O.T.R.
• Christina Waguespack, BA
• Codi Boudreaux Waguespack, DPT
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5464)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1016)
• Wal-Mart Stores Louisiana, LLC (Vision Center 30-1016)
• Walgreen Co (Rite Aid #17342)
• Walgreen Co (Rite Aid)

• Pharmacist in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.