Active NPI
Benji Juneau, PHYSICIAN ASSISTANT
- Pharmacotherapy Pharmacist
- Monroe, LA
National Provider Identifier
1669572947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 16348
- Practice address
- 1910 John Cir
Monroe, LA 71201-4508 - Phone
- (318) 323-5446
- NPI assigned
- Sep 25, 2006
- Last updated
- Nov 7, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200086 | LA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 16348 | LA | Primary |
Addresses
Primary practice location
1910 John Cir
Monroe, LA 71201-4508
Mailing address
1910 John Cir
Monroe, LA 71201-4508
Phone (318) 323-5446
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 |
|---|---|---|---|
| 16348 | LA | MD | Pharmacotherapy Pharmacist |
| PA.200086 | LA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1669572947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 JOHN CIR",
"city": "MONROE",
"state": "LA",
"postal_code": "712014508",
"telephone_number": "318-323-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 JOHN CIR",
"city": "MONROE",
"state": "LA",
"postal_code": "712014508",
"telephone_number": "318-323-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNEAU",
"first_name": "BENJI",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200086",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "LA",
"license": "16348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.