Individual provider Active NPI

Bethany Lavergne, PHARMD

  • Pharmacist
  • Lafayette, LA
National Provider Identifier
1437627130
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.023435 Issued in LA
Practice address
920 W Gloria Switch Rd
Lafayette, LA 70507-2310
Phone
(337) 896-0128
Fax
(337) 896-7426
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28294 NC
Pharmacist 183500000X PST.023435 LA Primary

Addresses

Primary practice location

920 W Gloria Switch Rd
Lafayette, LA 70507-2310

Mailing address

920 W Gloria Switch Rd
Lafayette, LA 70507-2310
Phone (337) 896-0128

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

LicenseStateTypeSpecialty
PST.023435LAMDPharmacist
28294NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Dec 28, 2022 Accepting new patients
Walgreen Co PastSince Dec 28, 2022 Accepting new patients

Locations

920 W Gloria Switch Rd
Lafayette, LA 70507
Phone (337) 896-0128

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1437627130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W GLORIA SWITCH RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072310",
            "telephone_number": "337-896-0128",
            "fax_number": "337-896-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W GLORIA SWITCH RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072310",
            "telephone_number": "337-896-0128",
            "fax_number": "337-896-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERGNE",
        "first_name": "BETHANY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "28294",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.023435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.