Active NPI
Inez Marie Victorian, PHARMACIST
- Pharmacotherapy Pharmacist
- Metairie, LA
National Provider Identifier
1407993629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 12016
- Practice address
- 4837 Trenton St
Metairie, LA 70006-6417 - Phone
- (888) 958-0424
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 12016 | LA | Primary |
Addresses
Primary practice location
4837 Trenton St
Metairie, LA 70006-6417
Mailing address
4837 Trenton St
Metairie, LA 70006-6417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 918128 | Other | LA | NPI TYPE I |
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 |
|---|---|---|---|
| 12016 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1407993629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4837 TRENTON ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700066417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4837 TRENTON ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700066417",
"telephone_number": "888-958-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORIAN",
"first_name": "INEZ",
"middle_name": "MARIE",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "LA",
"license": "12016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE I",
"identifier": "918128",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.