Active NPI
Dwain Paul Pitre Jr., PHARMD
- Pharmacist
- Abbeville, LA
National Provider Identifier
1902989353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17976
- Practice address
- 2250 Veterans Memorial Dr
Abbeville, LA 70510-4005 - Phone
- (337) 893-9686
- NPI assigned
- Oct 21, 2006
- 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 | 17976 | LA | Primary |
Addresses
Primary practice location
2250 Veterans Memorial Dr
Abbeville, LA 70510-4005
Mailing address
121 W Andrus Ave
Opelousas, LA 70570-4707
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 |
|---|---|---|---|
| 17976 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1902989353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W ANDRUS AVE",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705704707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 VETERANS MEMORIAL DR",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705104005",
"telephone_number": "337-893-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITRE",
"first_name": "DWAIN",
"middle_name": "PAUL",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-21",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abbeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.