Active NPI
Michael Dupin
- Pharmacist
- Lake Charles, LA
National Provider Identifier
1407255219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15364
- Practice address
- 3415 Highway 14
Lake Charles, LA 70607-2147 - Phone
- (337) 474-3557
- NPI assigned
- Aug 18, 2014
- Last updated
- Aug 18, 2014
- Sex
- Male
- 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 | 15364 | LA | Primary |
Addresses
Primary practice location
3415 Highway 14
Lake Charles, LA 70607-2147
Mailing address
3415 Highway 14
Lake Charles, LA 70607-2147
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 |
|---|---|---|---|
| 15364 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1407255219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 HIGHWAY 14",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706072147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 HIGHWAY 14",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706072147",
"telephone_number": "337-474-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPIN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.