Active NPI
Sidney Winters Hendry
- Pharmacist
- Monroe, LA
National Provider Identifier
1487379970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024586
- Practice address
- 130 Desiard St Ste 300
Monroe, LA 71201-7363 - Phone
- (318) 998-3907
- Fax
- (318) 812-6020
- NPI assigned
- Oct 6, 2022
- 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 | 024586 | LA | Primary |
Addresses
Primary practice location
130 Desiard St Ste 300
Monroe, LA 71201-7363
Mailing address
307 Susan Dr
West Monroe, LA 71291-1219
Phone (318) 557-0126
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 |
|---|---|---|---|
| 024586 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1487379970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 SUSAN DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712911219",
"telephone_number": "318-557-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 DESIARD ST STE 300",
"city": "MONROE",
"state": "LA",
"postal_code": "712017363",
"telephone_number": "318-998-3907",
"fax_number": "318-812-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRY",
"first_name": "SIDNEY",
"middle_name": "WINTERS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "024586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.