Active NPI
Lana Aline Guillory, R.PH.
- Pharmacist
- Lafayette, LA
National Provider Identifier
1619284965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15149
- Practice address
- 215 W Willow St
Lafayette, LA 70501-2841 - Phone
- (337) 572-9053
- Fax
- (337) 572-9054
- NPI assigned
- Sep 8, 2010
- Last updated
- Sep 8, 2010
- 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 | 15149 | LA | Primary |
Addresses
Primary practice location
215 W Willow St
Lafayette, LA 70501-2841
Mailing address
215 W Willow St
Lafayette, LA 70501-2841
Phone (337) 572-9053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1896829 | Medicaid | LA |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15149 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1619284965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W WILLOW ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705012841",
"telephone_number": "337-572-9053",
"fax_number": "337-572-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W WILLOW ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705012841",
"telephone_number": "337-572-9053",
"fax_number": "337-572-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "LANA",
"middle_name": "ALINE",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1896829",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.