Individual provider Active NPI

Kenneth Duracher

  • Pharmacist
  • Hammond, LA
National Provider Identifier
1750747630
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.010540 Issued in LA
Practice address
1322 W Thomas St
Hammond, LA 70401-3046
Phone
(985) 345-5044
Fax
(985) 345-6422
NPI assigned
Jan 8, 2016
Last updated
Jan 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.010540 LA Primary

Addresses

Primary practice location

1322 W Thomas St
Hammond, LA 70401-3046

Mailing address

1322 W Thomas St
Hammond, LA 70401-3046
Phone (985) 345-5044

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

LicenseStateTypeSpecialty
PST.010540LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
A-1 DME LLC PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1750747630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013046",
            "telephone_number": "985-345-5044",
            "fax_number": "985-345-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013046",
            "telephone_number": "985-345-5044",
            "fax_number": "985-345-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURACHER",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.010540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.