Active NPI
Katelyn Thomas, PHARM.D.
- Pharmacist
- Lake Charles, LA
National Provider Identifier
1598283277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.022156
- Practice address
- 2010 Country Club Rd
Lake Charles, LA 70605-5206 - Phone
- (337) 990-4902
- Fax
- (337) 990-4904
- NPI assigned
- Sep 1, 2017
- Last updated
- Mar 17, 2018
- 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 | PST.022156 | LA | Primary |
Addresses
Primary practice location
2010 Country Club Rd
Lake Charles, LA 70605-5206
Mailing address
7913 Elliott Rd
Lake Charles, LA 70605-0568
Phone (337) 540-2430
Other practice location 1
600 12th St
Lake Charles, LA 70601-6128
Phone (337) 436-3685
Other practice location 2
1421 Beglis Pkwy
Sulphur, LA 70663-5603
Phone (337) 528-9913
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.022156 | LA | MD | Pharmacist |
Practice roles
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Lake Charles, LA
- NPI 1932647179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1598283277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7913 ELLIOTT RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706050568",
"telephone_number": "337-540-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 COUNTRY CLUB RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055206",
"telephone_number": "337-990-4902",
"fax_number": "337-990-4904"
}
],
"practiceLocations": [
{
"address_1": "600 12th St",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706016128",
"country_code": "US",
"telephone_number": "337-436-3685",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1421 Beglis Pkwy",
"address_purpose": "LOCATION",
"city": "Sulphur",
"state": "LA",
"postal_code": "706635603",
"country_code": "US",
"telephone_number": "337-528-9913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "KATELYN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.022156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.