Louis Dikens St Juste

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH019770 Issued in GA

Practice address

1556 Lawrenceville Hwy
Lawrenceville, GA 30044-4601

Phone

(770) 962-4946

Fax

(770) 962-0892

NPI assigned

Sep 26, 2011

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Lawrenceville, GA
  • NPI 1639186612
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1508149659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442100",
            "telephone_number": "678-710-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444601",
            "telephone_number": "770-962-4946",
            "fax_number": "770-962-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JUSTE",
        "first_name": "LOUIS",
        "middle_name": "DIKENS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH019770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Medicine South of Gwinnett LLC
• Sports Medicine South, LLC
• Sheila Y Srinivasan, MD
• Anousith Sriratanakoul, CCC-SLP
• Maudeline Kolu St Jean
• St Margaret'S Home Care
• St. Mary'S Independent Living Extensions
• Rhonda St. Phard
• Stable Care Services, Inc
• Jon E Stahlman, MD

• Pharmacist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pharmacist in Georgia

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

Verify at the official NPI Registry.