Individual provider Active NPI

Laura Drouin

  • Pharmacist
  • Cahokia, IL
National Provider Identifier
1639770811
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051037108 Issued in IL
Practice address
1511 Camp Jackson Rd
Cahokia, IL 62206-2537
Phone
(618) 332-1133
Fax
(618) 332-1134
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051037108 IL Primary

Addresses

Primary practice location

1511 Camp Jackson Rd
Cahokia, IL 62206-2537

Mailing address

1330 Bossler LN
O Fallon, IL 62269-7128
Phone (618) 593-5772

Other practice location 1

1511 Camp Jackson Rd
Cahokia, IL 62206-2537
Phone (618) 332-1133

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

LicenseStateTypeSpecialty
051037108ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walmart Inc. PastSince Nov 8, 2020 Accepting new patients
Walmart Inc. PastSince Nov 8, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1639770811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOSSLER LN",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697128",
            "telephone_number": "618-593-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CAMP JACKSON RD",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062537",
            "telephone_number": "618-332-1133",
            "fax_number": "618-332-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Camp Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Cahokia",
            "state": "IL",
            "postal_code": "622062537",
            "country_code": "US",
            "telephone_number": "618-332-1133",
            "fax_number": "618-332-1134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DROUIN",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051037108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cahokia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.