Active NPI
Mary Elaine Mire, RPH
- Pharmacist
- Thibodaux, LA
National Provider Identifier
1972819555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16051
- Practice address
- 195 N Canal Blvd
Thibodaux, LA 70301-2995 - Phone
- (985) 447-4426
- Fax
- (985) 446-6572
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- 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 | 16051 | LA | Primary |
Addresses
Primary practice location
195 N Canal Blvd
Thibodaux, LA 70301-2995
Mailing address
195 N Canal Blvd
Thibodaux, LA 70301-2995
Phone (985) 447-4426
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 |
|---|---|---|---|
| 16051 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1972819555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 N CANAL BLVD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703012995",
"telephone_number": "985-447-4426",
"fax_number": "985-446-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 N CANAL BLVD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703012995",
"telephone_number": "985-447-4426",
"fax_number": "985-446-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRE",
"first_name": "MARY",
"middle_name": "ELAINE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.