Anthony J Peperone Jr., R.PH.
Individual provider Active NPI Pharmacist · Convington, LA
NPI 1750508586 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750508586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9127 (LA)
- Practice address
- 517 Place St. Laurent
Convington, LA 70433 - Phone
- (504) 319-1017
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9127 | LA | Yes |
Addresses
Primary practice location
517 Place St. Laurent
Convington, LA 70433
Mailing address
517 Place St. Laurent
Convington, LA 70433
Phone (504) 319-1017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9127 | Other | LA | PHARMACY |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.