Active NPI
Nicole L Veillon, PHARMD
- Pharmacist
- Lake Charles, LA
National Provider Identifier
1396050241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 018146
- Practice address
- 1269 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5469 - Phone
- (337) 855-1341
- NPI assigned
- Aug 16, 2010
- Last updated
- Jan 12, 2023
- 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 | 018146 | LA | Primary |
Addresses
Primary practice location
1269 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5469
Mailing address
248 Jims Cir
Ragley, LA 70657-6948
Phone (337) 304-0229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2352181 | Medicaid | LA |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018146 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Freds Stores of Tennessee Inc | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
Locations
1269 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 855-1341
Organizations & group practices 3
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.
-
dba Freds Pharmacy 3648
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1093969016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1396050241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 JIMS CIR",
"city": "RAGLEY",
"state": "LA",
"postal_code": "706576948",
"telephone_number": "337-304-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1269 SAM HOUSTON JONES PKWY",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706115469",
"telephone_number": "337-855-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEILLON",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "018146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2352181",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
- Melissa Vaughn, MS
- Kimberly Irene Vaussine, DPT
- VCP 2 Louisiana Professional Corporation (Vein Guys)
- Vcphcs VI, LLC (BHG Lake Charles Treatment Center)
- Jessica G Veillon, MS, LAT, ATC
- Vein Center of Southwest Louisiana LLC
- Kenneth Steven Verheeck, M.D.
- Carol Cheyenne Vermillion, M.A.
- Bethany Ardoin Verret, PA-C
- Austin Verrett, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.