Active NPI
Mary Ann Blades, PHARMD
- Pharmacist
- Angola, LA
National Provider Identifier
1811337231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020006
- Practice address
- 17544 Tunica Trace
Louisiana State Penitentiary
Angola, LA 70712-1200 - Phone
- (225) 655-2313
- NPI assigned
- Jun 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020006 | LA | Primary |
| Pharmacist | 183500000X | E-12675 | MS |
Addresses
Primary practice location
17544 Tunica Trace
Louisiana State Penitentiary
Angola, LA 70712-1200
Mailing address
17544 Tunica Trce
Louisiana State Penitentiary
Angola, LA 70712-3029
Phone (225) 655-2313
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020006 | LA | MD | Pharmacist |
| E-12675 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1811337231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17544 TUNICA TRCE",
"address_2": "LOUISIANA STATE PENITENTIARY",
"city": "ANGOLA",
"state": "LA",
"postal_code": "707123029",
"telephone_number": "225-655-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17544 TUNICA TRACE",
"address_2": "LOUISIANA STATE PENITENTIARY",
"city": "ANGOLA",
"state": "LA",
"postal_code": "707121200",
"telephone_number": "225-655-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLADES",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-29",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "020006",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-12675",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Angola, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.