Joseph Craig Brignac, RPH
Individual provider Active NPI Pharmacist · Mamou, LA
NPI 1689368987 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1689368987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14301 (LA)
- Practice address
- 900 6TH St
Mamou, LA 70554-3122 - Phone
- (337) 459-2189
- NPI assigned
- Jun 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14301 | LA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14301 | LA | Yes |
Addresses
Primary practice location
900 6TH St
Mamou, LA 70554-3122
Mailing address
1032 Brignac Rd
Ville Platte, LA 70586-8679
Other providers in Mamou, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.