Nicole L Hery, PHARM D
Individual provider Active NPI Pharmacist · Arabi, LA
NPI 1750665154 · NPPES record last updated Oct 4, 2011
Key facts
- NPI
- 1750665154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 019132 (LA)
- Practice address
- 7540 W Judge Perez Dr
Arabi, LA 70032-1915 - Phone
- (504) 279-0446
- Fax
- (504) 278-2388
- NPI assigned
- Oct 4, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019132 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C and C Pharmacy LLC | Current | Accepting new patients | |
| C & C Drugs, Inc. | Past | Accepting new patients |
Locations
7540 W Judge Perez Dr
Arabi, LA 70032
Phone (504) 279-0446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019132 | LA | Yes |
Addresses
Primary practice location
7540 W Judge Perez Dr
Arabi, LA 70032-1915
Mailing address
7540 W Judge Perez Dr
Arabi, LA 70032-1915
Phone (504) 279-0446
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019132 | Other | LA | LOUISIANA BOARD OF PHARMACY LICENSE |
| 2123432 | Medicaid | LA |
Other providers in Arabi, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2011. 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.