Active NPI
Denikka Latoya Hull
- Pharmacist
- Geismar, LA
National Provider Identifier
1639416993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016636
- Practice address
- 12506 Highway 73
Geismar, LA 70734-3209 - Phone
- (225) 677-7607
- Fax
- (225) 677-7608
- NPI assigned
- Jan 7, 2013
- Last updated
- Jan 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.16636 | LA | |
| Pharmacist | 183500000X | 016636 | LA | Primary |
Addresses
Primary practice location
12506 Highway 73
Geismar, LA 70734-3209
Mailing address
12506 Highway 73
Geismar, LA 70734-3209
Phone (225) 677-7607
Other names 1
- Dr. Denikka Latoya Hull-Blackmon
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 |
|---|---|---|---|
| 016636 | LA | MD | Pharmacist |
| PST.16636 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
12506 Highway 73
Geismar, LA 70734
Phone (225) 677-7607
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1639416993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12506 HIGHWAY 73",
"city": "GEISMAR",
"state": "LA",
"postal_code": "707343209",
"telephone_number": "225-677-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12506 HIGHWAY 73",
"city": "GEISMAR",
"state": "LA",
"postal_code": "707343209",
"telephone_number": "225-677-7607",
"fax_number": "225-677-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "DENIKKA",
"middle_name": "LATOYA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.16636",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "016636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENIKKA",
"last_name": "HULL-BLACKMON",
"middle_name": "LATOYA",
"prefix": "DR.",
"credential": "PHARM.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Geismar, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.