Individual provider Active NPI

Chad Joseph Lemoine, P.D.

  • Pharmacist
  • Lake Charles, LA
National Provider Identifier
1811210107
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16240 Issued in LA
Practice address
4070 Ryan St
Lake Charles, LA 70605-2820
Phone
(337) 478-5591
Fax
(337) 477-2884
NPI assigned
Mar 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16240 LA Primary

Addresses

Primary practice location

4070 Ryan St
Lake Charles, LA 70605-2820

Mailing address

4070 Ryan St
Lake Charles, LA 70605-2820
Phone (337) 478-5591

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
16240LAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1811210107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052820",
            "telephone_number": "337-478-5591",
            "fax_number": "337-477-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052820",
            "telephone_number": "337-478-5591",
            "fax_number": "337-477-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "CHAD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.