Active NPI
Marckel Lynette Thomas
- Pharmacist
- Opelousas, LA
National Provider Identifier
1710451265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024012
- Practice address
- 185 Grand Rue de Josh
Opelousas, LA 70570-4786 - Phone
- (985) 991-6021
- NPI assigned
- Jan 17, 2019
- Last updated
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S12390 | AL | |
| Pharmacist | 183500000X | PST.024012 | LA | Primary |
Addresses
Primary practice location
185 Grand Rue de Josh
Opelousas, LA 70570-4786
Mailing address
185 Grand Rue de Josh
Opelousas, LA 70570-4786
Phone (985) 991-6021
Other practice location 1
2316 Walker Building
Auburn University, AL 36849-0001
Phone (985) 991-6021
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | . |
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 |
|---|---|---|---|
| PST.024012 | LA | MD | Pharmacist |
| S12390 | AL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1710451265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 GRAND RUE DE JOSH",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705704786",
"telephone_number": "985-991-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 GRAND RUE DE JOSH",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705704786",
"telephone_number": "985-991-6021"
}
],
"practiceLocations": [
{
"address_1": "2316 Walker Building",
"address_purpose": "LOCATION",
"city": "Auburn University",
"state": "AL",
"postal_code": "368490001",
"country_code": "US",
"telephone_number": "985-991-6021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "MARCKEL",
"middle_name": "LYNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-17",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "S12390",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024012",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": ".",
"affiliation": "N",
"address_1": "185 Grand Rue De Josh",
"city": "Opelousas",
"state": "LA",
"country_code": "US",
"postal_code": "705704786",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Opelousas, LA
- Travis Thierry
- Thierry's Medical Transportation LLC
- Brenda Thomas
- Daisiette Thomas
- Delores Thomas
- Renata D Thomas, LPC, NCC
- Valerie Thomas
- Thrif T Way Pharmacy of Louisiana Opelousas South Inc (Carls Thrifty Way Pharmacy)
- Thrif-T-Way, Inc. (Thrifty Way at The Cottage)
- Thrift Clinic Pharmacy on Union, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.