Active NPI
Maria F Fonseca Caceres, PHARMD
- Pharmacist
- River Ridge, LA
National Provider Identifier
1912622176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024598
- Practice address
- 9705 Jefferson Hwy
River Ridge, LA 70123-2511 - Phone
- (504) 737-2111
- Fax
- (504) 737-0174
- NPI assigned
- Oct 10, 2022
- Last updated
- Oct 10, 2022
- Sex
- Female
- 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 | PST.024598 | LA | Primary |
Addresses
Primary practice location
9705 Jefferson Hwy
River Ridge, LA 70123-2511
Mailing address
9705 Jefferson Hwy
River Ridge, LA 70123-2511
Phone (504) 737-2111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
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 |
|---|---|---|---|
| PST.024598 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
9705 Jefferson Hwy
River Ridge, LA 70123
Phone (504) 737-2111
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": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1912622176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9705 JEFFERSON HWY",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701232511",
"telephone_number": "504-737-2111",
"fax_number": "504-737-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9705 JEFFERSON HWY",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701232511",
"telephone_number": "504-737-2111",
"fax_number": "504-737-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA CACERES",
"first_name": "MARIA",
"middle_name": "F",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024598",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "9705 Jefferson Hwy",
"city": "River Ridge",
"state": "LA",
"country_code": "US",
"postal_code": "701232511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in River Ridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.