Active NPI
Matthew Lane
- Pharmacist
- West Monroe, LA
National Provider Identifier
1417326646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 018065
- Practice address
- 5349 Cypress St
West Monroe, LA 71291-7505 - Phone
- (318) 397-8152
- NPI assigned
- Sep 17, 2015
- Last updated
- Sep 17, 2015
- 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 | 018065 | LA | Primary |
Addresses
Primary practice location
5349 Cypress St
West Monroe, LA 71291-7505
Mailing address
5439 Cypress
West Monroe, LA 71291
Phone (318) 397-8152
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 |
|---|---|---|---|
| 018065 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1417326646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5439 CYPRESS",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "71291",
"telephone_number": "318-397-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5349 CYPRESS ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917505",
"telephone_number": "318-397-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "018065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
- Kathryn Raymond Laborde, APRN
- Alandra Blaise Lacaze, CIT
- Ashley Lambert
- Shconda Lambert, SPECIALIST
- Landmark Nursing Center of West Monroe LLC (Landmark Nursing & Rehabilitation Center of West Monroe)
- Laney E Laque, SLP
- Arlene V Lathrop, R.D.
- Lawrence J. Danna, MD a Medical Corporation
- Matthew Lay, PHARM. D
- LCB Management LLC (Linda C Bunch MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.