Active NPI
Thomas Ortique Jr.
- Pharmacist
- Amite, LA
National Provider Identifier
1821747866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024154
- Practice address
- 300 W Oak St
Amite, LA 70422-2720 - Phone
- (985) 747-8342
- NPI assigned
- Mar 18, 2022
- 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 | 024154 | LA | Primary |
Addresses
Primary practice location
300 W Oak St
Amite, LA 70422-2720
Mailing address
300 W Oak St
Amite, LA 70422-2720
Phone (985) 747-8342
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.13604@store.walgreens.com |
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 |
|---|---|---|---|
| 024154 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
300 W Oak St
Amite, LA 70422
Phone (985) 747-8342
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": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1821747866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W OAK ST",
"city": "AMITE",
"state": "LA",
"postal_code": "704222720",
"telephone_number": "985-747-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W OAK ST",
"city": "AMITE",
"state": "LA",
"postal_code": "704222720",
"telephone_number": "985-747-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIQUE",
"first_name": "THOMAS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "024154",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.13604@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "Pharmacy Email",
"address_1": "300 W Oak St",
"city": "Amite",
"state": "LA",
"country_code": "US",
"postal_code": "704222720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Amite, LA
- Neuroscience & Pain Institute LLC (Neuroscience & Pain Institute)
- Regina Renee Nicholes
- Tyrell Orlandus Norman
- North Tangi Adult Day Care
- North Tangi Counseling Services
- Lynette Parker, SOCIAL WORKER
- Charles Frederick Payne, PT
- Delaney Phillips, MSN, APRN, FNP-C
- Zachary Clifton Pray
- Precision Optical of Hammond, Inc. (Thomas Eye Care and Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.