Active NPI
Destinee Nicole Hebert
- Pharmacist
- Shreveport, LA
National Provider Identifier
1992206627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021265
- Practice address
- 105 Southfield Rd
Shreveport, LA 71105-3702 - Phone
- (318) 861-2431
- NPI assigned
- Feb 27, 2018
- 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 | 021265 | LA | Primary |
Addresses
Primary practice location
105 Southfield Rd
Shreveport, LA 71105-3702
Mailing address
1970 Wild Iris
Bossier City, LA 71112-4681
Phone (337) 654-0859
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1992206627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 WILD IRIS",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124681",
"telephone_number": "337-654-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SOUTHFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711053702",
"telephone_number": "318-861-2431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "DESTINEE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "021265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.