Active NPI
Lynette Goyer
- Pharmacist
- Denham Springs, LA
National Provider Identifier
1922608876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14433
- Practice address
- 201 Bass Pro Blvd
Denham Springs, LA 70726-5570 - Phone
- (225) 665-8153
- Fax
- (225) 665-8322
- NPI assigned
- Oct 29, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14433 | LA | Primary |
Addresses
Primary practice location
201 Bass Pro Blvd
Denham Springs, LA 70726-5570
Mailing address
201 Bass Pro Blvd
Denham Springs, LA 70726-5570
Phone (225) 665-8153
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 |
|---|---|---|---|
| 14433 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1922608876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 BASS PRO BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707265570",
"telephone_number": "225-665-8153",
"fax_number": "225-665-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BASS PRO BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707265570",
"telephone_number": "225-665-8153",
"fax_number": "225-665-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOYER",
"first_name": "LYNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.