Carla V Bellard
Individual provider Active NPI Pharmacist · Lafayette, LA
NPI 1376859082 · NPPES record last updated Aug 19, 2010
Key facts
- NPI
- 1376859082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17028 (LA)
- Practice address
- 2822 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906 - Phone
- (337) 216-9399
- Fax
- (337) 216-9196
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- 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 |
|---|---|---|---|
| 17028 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17028 | LA | Yes |
Addresses
Primary practice location
2822 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Mailing address
2822 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 216-9399
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2010. 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.