Individual provider Active NPI

Michelle Guarino Judice, RPH

  • Pharmacist
  • Abbeville, LA
National Provider Identifier
1942570692
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15909 Issued in LA
Practice address
2640 North Dr
Abbeville, LA 70510-4043
Phone
(337) 893-6304
Fax
(337) 893-6306
NPI assigned
Jan 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15909 LA Primary

Addresses

Primary practice location

2640 North Dr
Abbeville, LA 70510-4043

Mailing address

218 N Hollingsworth Dr
Abbeville, LA 70510-3649
Phone (337) 893-1612

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
15909LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1942570692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N HOLLINGSWORTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705103649",
            "telephone_number": "337-893-1612",
            "fax_number": "337-893-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 NORTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104043",
            "telephone_number": "337-893-6304",
            "fax_number": "337-893-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDICE",
        "first_name": "MICHELLE",
        "middle_name": "GUARINO",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15909",
            "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 Jun 29, 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.

Verify at the official NPI Registry.