Active NPI
Robert Alexander Landry, RPH
- Pharmacist
- Ponchatoula, LA
National Provider Identifier
1962785196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17064
- Practice address
- 285 W Pine St
Ponchatoula, LA 70454-3310 - Phone
- (985) 386-6132
- NPI assigned
- Sep 23, 2011
- Last updated
- Sep 23, 2011
- 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 | 17064 | LA | Primary |
Addresses
Primary practice location
285 W Pine St
Ponchatoula, LA 70454-3310
Mailing address
24042 Snowy Egret CV
Springfield, LA 70462-8091
Phone (985) 510-1226
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17064 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
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": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1962785196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24042 SNOWY EGRET CV",
"city": "SPRINGFIELD",
"state": "LA",
"postal_code": "704628091",
"telephone_number": "985-510-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 W PINE ST",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704543310",
"telephone_number": "985-386-6132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "ROBERT",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponchatoula, LA
- Mallory Kraft
- La Bodega Inc (AmeraCare Home Health)
- Lacy's Sitter Service, LLC (Lacy's Sitter Service)
- Melissa A. Lama, N.P.
- Rory Lambert, PHARMD
- LFR Enterprises (Floyd's Family Pharmacy #2 (Bedico))
- Jake Bradley Lipps
- Angelica Lirette, DPT
- Long's Transportation Service, LLC
- Samantha Megan Lopez, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.