Active NPI
Tara Culotta
- Pharmacist
- Terrytown, LA
National Provider Identifier
1992010755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16595
- Practice address
- 678 Terry Pkwy
Terrytown, LA 70056 - Phone
- (504) 366-1535
- Fax
- (504) 366-9280
- NPI assigned
- Aug 17, 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 | 16595 | LA | Primary |
Addresses
Primary practice location
678 Terry Pkwy
Terrytown, LA 70056
Mailing address
678 Terry Pkwy
Terrytown, LA 70056-4306
Phone (504) 366-1535
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16595 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Louisiana Co Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Lake Charles, LA
- NPI 1629084017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1992010755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "678 TERRY PKWY",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "700564306",
"telephone_number": "504-366-1535",
"fax_number": "504-366-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 TERRY PKWY",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "70056",
"telephone_number": "504-366-1535",
"fax_number": "504-366-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULOTTA",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terrytown, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.