Active NPI
Layne Dishman
- Pharmacist
- Ruston, LA
National Provider Identifier
1750980066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.025480
- Practice address
- 1200 S Farmerville St
Ruston, LA 71270-5941 - Phone
- (318) 251-6337
- NPI assigned
- Oct 19, 2020
- Last updated
- Oct 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.025480 | LA | Primary |
Addresses
Primary practice location
1200 S Farmerville St
Ruston, LA 71270-5941
Mailing address
108 Crestwood Dr
West Monroe, LA 71291-6943
Phone (337) 967-0584
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.025480 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1750980066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CRESTWOOD DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712916943",
"telephone_number": "337-967-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S FARMERVILLE ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705941",
"telephone_number": "318-251-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISHMAN",
"first_name": "LAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-19",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.025480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruston, LA
- Department of Health and Hospitals (Ruston Behavioral Health Center)
- Department of Health and Hospitals (OBH-Ruston Addictive Disorders Clinic)
- Brittany Diez
- Dillingham Optical of Ruston, Inc
- Andrea D Dillon
- Christina Dison
- Gretchen Senn Dison, MA, LPC
- Jennifer Lynn Ditter, MA, NCC, LPC-S
- Divine Companion Care Services
- Divine Health Primary Care Clinic, LLC (Divine Health and Primary Care Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.