Active NPI
Wayne Michael Collins
- Pharmacist
- Cut Off, LA
National Provider Identifier
1548057409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0015316
- Practice address
- 144 W 134TH PL
Cut Off, LA 70345-4128 - Phone
- (985) 325-9750
- NPI assigned
- Apr 23, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 0015316 | LA | |
| Pharmacist | 183500000X | 0015316 | LA | Primary |
Addresses
Primary practice location
144 W 134TH PL
Cut Off, LA 70345-4128
Mailing address
308 Riverwood Dr
Houma, LA 70360-7988
Phone (985) 381-8918
Other practice location 1
13086 Highway 3235
LaRose, LA 70373-2552
Phone (985) 693-9260
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 |
|---|---|---|---|
| 0015316 | LA | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafourche Parish Hospital Service District No. 1 | Past | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Larose, LA
- NPI 1669876876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1548057409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 RIVERWOOD DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703607988",
"telephone_number": "985-381-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 W 134TH PL",
"city": "CUT OFF",
"state": "LA",
"postal_code": "703454128",
"telephone_number": "985-325-9750"
}
],
"practiceLocations": [
{
"address_1": "13086 Highway 3235",
"address_purpose": "LOCATION",
"city": "LaRose",
"state": "LA",
"postal_code": "703732552",
"country_code": "US",
"telephone_number": "985-693-9260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "WAYNE",
"middle_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-23",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "LA",
"license": "0015316",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "0015316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cut Off, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.