Active NPI
Scott James Fontenot
- Pharmacist
- Crowley, LA
National Provider Identifier
1457666554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15634
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15634 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Walgreen Co | Past | 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.
-
- Pharmacy
- Crowley, LA
- NPI 1174553291
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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.