Jimmie Wayne Plumer, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

14513 Issued in LA

Practice address

3001 Highway 90 W
Avondale, LA 70094-2758

Phone

(504) 437-0650

Fax

(504) 437-0541

NPI assigned

Mar 19, 2007

Last updated

Jun 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212278400000",
    "number": "1972628204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAUD OLIVE DR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700378106",
            "telephone_number": "504-656-8095",
            "fax_number": "504-437-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HIGHWAY 90 W",
            "city": "AVONDALE",
            "state": "LA",
            "postal_code": "700942758",
            "telephone_number": "504-437-0650",
            "fax_number": "504-437-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMER",
        "first_name": "JIMMIE",
        "middle_name": "WAYNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-8525",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "14513",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1217760",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Avondale, LA
• Providers in Avondale, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; 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.