Richanqua J Dickerson

Primary specialty

PharmacistTaxonomy code 183500000X

License

PST.025614 Issued in LA

Practice address

17122 Airline Hwy
Prairieville, LA 70769-3402

Phone

(225) 673-9971

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1447063276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W SUNCREST LOOP",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581674",
            "telephone_number": "504-756-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17122 AIRLINE HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693402",
            "telephone_number": "225-673-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "RICHANQUA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.025614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Da Vonna Dents
• Crystal Devaux, MED, LPC
• Robert Charles Deveer Jr.
• Diamond Nutrition Consultants
• Elier Diaz, M.D.
• Jared Diggs
• Dinh Dental LLC (Rejuvenate Dental Studio)
• Doctors Robert Leo Regan, Michael Charles Casadaban and David a Bulot (Fusion Implant Center)
• Kajandre Domino
• Lauren Elizabeth Dougherty, PA-C

• Pharmacist in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.