Active NPI
Clint Fontenot
- Pharmacist
- Eunice, LA
National Provider Identifier
1659852242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16780
- Practice address
- 1800 W Laurel Ave
Eunice, LA 70535-2902 - Phone
- (337) 457-4827
- Fax
- (337) 457-4223
- NPI assigned
- Aug 22, 2018
- Last updated
- Aug 22, 2018
- Sex
- Male
- 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 | 16780 | LA | Primary |
Addresses
Primary practice location
1800 W Laurel Ave
Eunice, LA 70535-2902
Mailing address
1800 W Laurel Ave
Eunice, LA 70535-2902
Phone (337) 457-4827
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 |
|---|---|---|---|
| 16780 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1659852242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W LAUREL AVE",
"city": "EUNICE",
"state": "LA",
"postal_code": "705352902",
"telephone_number": "337-457-4827",
"fax_number": "337-457-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W LAUREL AVE",
"city": "EUNICE",
"state": "LA",
"postal_code": "705352902",
"telephone_number": "337-457-4827",
"fax_number": "337-457-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "CLINT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eunice, LA
- First Choice Medical Solutions of America
- First Choice Non Emergent Medical Transportation, LLC
- First Reliable Medical Supply (John J Givs Sr)
- Jules David Fisher, CRNA
- Lindsey Ann Font, LMSW
- Heather E Fontenot, PT
- Kayla R Fontenot, M.D., OBGYN
- Maggie Marie Fontenot, FNP-C
- Meriva Fontenot
- Sarah Welch Fontenot, M.S., CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.