Individual provider Active NPI

Scott James Fontenot

  • Pharmacist
  • Crowley, LA
National Provider Identifier
1457666554
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15634 Issued in LA
Practice address
806 Odd Fellows Rd
Crowley, LA 70526-2214
Phone
(337) 783-8316
Fax
(337) 783-8446
NPI assigned
Aug 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15634 LA Primary

Addresses

Primary practice location

806 Odd Fellows Rd
Crowley, LA 70526-2214

Mailing address

806 Odd Fellows Rd
Crowley, LA 70526-2214
Phone (337) 783-8316

Other practice location 1

2700 Johnston St
Lafayette, LA 70503-3242
Phone (337) 232-3664

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

LicenseStateTypeSpecialty
15634LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. CurrentSince Jan 8, 2023 Accepting new patients
Walgreen Co PastSince Jan 8, 2023 Accepting new patients

Locations

806 Odd Fellows Rd
Crowley, LA 70526
Phone (337) 783-8316

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1457666554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 ODD FELLOWS RD",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262214",
            "telephone_number": "337-783-8316",
            "fax_number": "337-783-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ODD FELLOWS RD",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262214",
            "telephone_number": "337-783-8316",
            "fax_number": "337-783-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Johnston St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705033242",
            "country_code": "US",
            "telephone_number": "337-232-3664",
            "fax_number": "337-232-5262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "SCOTT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.