Kathleen Fontenot, RPH
Individual provider Active NPI Pharmacist · Mamou, LA
NPI 1720763519 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1720763519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PST.013737 (LA)
- Practice address
- 900 6TH St
Mamou, LA 70554-3122 - Phone
- (337) 465-5402
- Fax
- (337) 468-2719
- NPI assigned
- Jun 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| PST.013737 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deshotels Drugs, Inc | Current |
Accepting new patients |
Locations
900 6th St
Mamou, LA 70554
Phone (337) 459-2189
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.013737 | LA | Yes |
Addresses
Primary practice location
900 6TH St
Mamou, LA 70554-3122
Mailing address
900 6TH St
Mamou, LA 70554-3122
Phone (337) 465-5402
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 19, 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.