Active NPI
Stephanie Land, R.PH.
- Pharmacist
- Woodworth, LA
National Provider Identifier
1447379201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16797
- Practice address
- 517 Bob Odom Loop
Woodworth, LA 71485-4808 - Phone
- (318) 487-0342
- Fax
- (318) 448-1328
- NPI assigned
- Mar 29, 2007
- Last updated
- Aug 27, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16797 | LA | Primary |
Addresses
Primary practice location
517 Bob Odom Loop
Woodworth, LA 71485-4808
Mailing address
517 Bob Odom Loop
Woodworth, LA 71485-4808
Phone (318) 487-0342
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16797 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearson Specialty Pharmacy LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Pearson Specialty Pharmacy
- Long Term Care Pharmacy
- Alexandria, LA
- NPI 1487737565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1447379201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 BOB ODOM LOOP",
"city": "WOODWORTH",
"state": "LA",
"postal_code": "714854808",
"telephone_number": "318-487-0342",
"fax_number": "318-448-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 BOB ODOM LOOP",
"city": "WOODWORTH",
"state": "LA",
"postal_code": "714854808",
"telephone_number": "318-487-0342",
"fax_number": "318-448-1328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAND",
"first_name": "STEPHANIE",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodworth, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.