Individual provider Active NPI

Andrea M Martinez Landry

  • Pharmacist
  • Lafayette, LA
National Provider Identifier
1366739500
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.017467 Issued in LA
Practice address
3225 Louisiana Ave
T-2377
Lafayette, LA 70501-1406
Phone
(337) 769-7516
Fax
(337) 769-7526
NPI assigned
Jul 8, 2011
Last updated
Jul 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.017467 LA Primary

Addresses

Primary practice location

3225 Louisiana Ave
T-2377
Lafayette, LA 70501-1406

Mailing address

3225 Louisiana Ave
T-2377
Lafayette, LA 70501-1406
Phone (337) 769-7516

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

LicenseStateTypeSpecialty
PST.017467LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1366739500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 LOUISIANA AVE",
            "address_2": "T-2377",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011406",
            "telephone_number": "337-769-7516",
            "fax_number": "337-769-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 LOUISIANA AVE",
            "address_2": "T-2377",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011406",
            "telephone_number": "337-769-7516",
            "fax_number": "337-769-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ LANDRY",
        "first_name": "ANDREA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.017467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.