Allison Lightfoot, R.PH
Individual provider Active NPI Pharmacist · Youngsville, LA
NPI 1982912499 · NPPES record last updated Sep 17, 2010
Key facts
- NPI
- 1982912499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15725 (LA)
- Practice address
- 601 Lafayette Street
Youngsville, LA 70592 - Phone
- (337) 856-5761
- Fax
- (337) 856-8382
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15725 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bares Inc. | Pharmacist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15725 | LA | Yes |
Addresses
Primary practice location
601 Lafayette Street
Youngsville, LA 70592
Mailing address
PO Box 228
Youngsville, LA 70592-0228
Phone (337) 856-5761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89654 | Medicaid | LA |
Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.