Brenda Ann Disimone, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

007653 Issued in LA

Practice address

8912 Veterans Memorial Blvd
Metairie, LA 70003-5200

Phone

(504) 465-0171

Fax

(504) 465-9047

NPI assigned

May 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1801479019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 TAFFY DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653861",
            "telephone_number": "504-232-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 VETERANS MEMORIAL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700035200",
            "telephone_number": "504-465-0171",
            "fax_number": "504-465-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISIMONE",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "LA",
            "license": "007653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "connexus",
            "affiliation": "N",
            "endpointDescription": "connexus pharmacy program",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "connexus",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Walmart processing system",
            "address_1": "8912 Veterans Memorial Blvd",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700035200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Camryn Dinvaut
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• Quentin Diresto
• Philip Joseph Disalvo, D.D.S.
• Alyssa Dismang
• Oliver Dison
• Melanie Distefano Ditta, CRNA
• Divine Comfort Health Care Services Inc
• Divine Comfort Health Care Services, Inc

• Pharmacy Technician in Metairie, LA
• Providers in Metairie, LA by specialty
• Pharmacy Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.