Active NPI
Tiffany Minick
- Pharmacist
- Opelousas, LA
National Provider Identifier
1356899884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.021753
- Practice address
- 1013 E Landry St
Opelousas, LA 70570-7388 - Phone
- (337) 942-5738
- NPI assigned
- Sep 13, 2016
- Last updated
- Sep 13, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.021753 | LA | Primary |
Addresses
Primary practice location
1013 E Landry St
Opelousas, LA 70570-7388
Mailing address
PO Box 41
Lawtell, LA 70550-0041
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.021753 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients | |
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1356899884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41",
"city": "LAWTELL",
"state": "LA",
"postal_code": "705500041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 E LANDRY ST",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705707388",
"telephone_number": "337-942-5738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINICK",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.021753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Opelousas, LA
- Jazmine Milburn
- Miller Dialysis Services (Kidney Treatment Options Center of Opelousas)
- Miller Drugs Inc (Miller Drugs)
- Lisa M Miller
- Nichole Gordon Miller, FNP-C
- Minnix Vein Ease Express LLC
- Amanda Minyard Vidrine, PTA
- Mobility Express Transportation, LLC
- Leon Monceret II, D.D.S.
- Elaine Ruth Montgomery, COUNSELOR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.