John Eric Reed
Individual provider Active NPI Pharmacist · Mamou, LA
NPI 1356600530 · NPPES record last updated May 9, 2012
Key facts
- NPI
- 1356600530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14602 (LA)
- Practice address
- 1009 6TH St
Mamou, LA 70554-3123 - Phone
- (337) 468-5207
- Fax
- (337) 468-5932
- NPI assigned
- May 9, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14602 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elvin Reed & Phyllis Vidrine | Past | Accepting new patients | |
| Reeds Family Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14602 | LA | Yes |
Addresses
Primary practice location
1009 6TH St
Mamou, LA 70554-3123
Mailing address
PO Box 374
Mamou, LA 70554-0374
Phone (337) 468-2893
Other providers in Mamou, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.