Individual provider Active NPI

Angela Gaudet, RPH

  • Pharmacist
  • Destrehan, LA
National Provider Identifier
1962978387
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
022772 Issued in LA
Practice address
3001 Ormond Blvd Ste C
Destrehan, LA 70047-2545
Phone
(985) 307-0800
NPI assigned
Oct 24, 2018
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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 022772 LA Primary

Addresses

Primary practice location

3001 Ormond Blvd Ste C
Destrehan, LA 70047-2545

Mailing address

3001 Ormond Blvd Ste C
Destrehan, LA 70047-2545
Phone (985) 307-0800

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
022772LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nola Discount Pharmacy of Destrehan, LLC CurrentSince May 12, 2024 Accepting new patients
Slaughter Drug Store LLC Past Accepting new patients
Nola Discount Pharmacy LLC PastSince Feb 1, 2022 Accepting new patients

Locations

3001 Ormond Blvd
Ste C
Destrehan, LA 70047
Phone (985) 307-0800

Organizations & group practices 3

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1962978387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 ORMOND BLVD STE C",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472545",
            "telephone_number": "985-307-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ORMOND BLVD STE C",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472545",
            "telephone_number": "985-307-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDET",
        "first_name": "ANGELA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "022772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destrehan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.