Jennifer Lin Lucas, PHARMD
Individual provider Active NPI Pharmacist · Meraux, LA
NPI 1770898736 · NPPES record last updated Aug 16, 2010
Key facts
- NPI
- 1770898736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18876 (LA)
- Practice address
- 4141 E Judge Perez Drive
Meraux, LA 70075-2670 - Phone
- (504) 682-6738
- Fax
- (504) 682-6744
- NPI assigned
- Aug 16, 2010
- 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 |
|---|---|---|---|
| 051291194 | IL | MD | Pharmacist |
| 18876 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18876 | LA | Yes |
| Pharmacist | 183500000X | 051291194 | IL |
Addresses
Primary practice location
4141 E Judge Perez Drive
Meraux, LA 70075-2670
Mailing address
4141 E Judge Perez Dr
Meraux, LA 70075-2670
Phone (504) 682-6738
Other names
- Dr. Jennifer Lin Shank
Other providers in Meraux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2010. 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.