NPIMap

Organization Active NPI

Icare Johnston Street

  • Community/Retail Pharmacy
  • Lafayette, LA
National Provider Identifier
1912326968
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ICARE JOHNSTON STREET
Practice address
2039 Johnston Street
Lafayette, LA 70503
Phone
(337) 233-4782
Fax
(337) 233-4783
NPI assigned
Apr 7, 2014
Last updated
Aug 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Mrs. Anna Teresa W Andrepont
Title
Managing Officer
Phone
(337) 233-4782

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2039 Johnston Street
Lafayette, LA 70503

Mailing address

2039 Johnston Street
Lafayette, LA 70503
Phone (337) 233-4782

National Provider Directory

National Provider Directory
Tax ID family
Icare Johnston Street2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1912326968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 JOHNSTON STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-233-4782",
            "fax_number": "337-233-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 JOHNSTON STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-233-4782",
            "fax_number": "337-233-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE JOHNSTON STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "ANDREPONT",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "TERESA W",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "337-233-4782",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.