Active NPI
Patty Landry
- Pharmacist
- Breaux Bridge, LA
National Provider Identifier
1578632121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17090
- Practice address
- 924 Rees St
Breaux Bridge, LA 70517-4514 - Phone
- (337) 332-6339
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 17090 | LA | Primary |
Addresses
Primary practice location
924 Rees St
Breaux Bridge, LA 70517-4514
Mailing address
4555P Main Hwy
Breaux Bridge, LA 70517-7631
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 |
|---|---|---|---|
| 17090 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578632121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555P MAIN HWY",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705177631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 REES ST",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705174514",
"telephone_number": "337-332-6339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "PATTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.