Active NPI
Tewelde's Lafitte Drugs
- Pharmacist
- Lafitte, LA
National Provider Identifier
1992852636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11262
- Legal business name
- TEWELDE'S LAFITTE DRUGS
- Practice address
- 2695 Jean Lafitte Blvd
Lafitte, LA 70067 - Phone
- (504) 689-4122
- Fax
- (504) 689-4125
- NPI assigned
- Jan 4, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Taddese Tewelde, PHARMD
- Title
- Owner Pharmacist
- Phone
- (504) 689-4122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11262 | LA | Primary |
Addresses
Primary practice location
2695 Jean Lafitte Blvd
Lafitte, LA 70067
Mailing address
PO Box 10
Lafitte, LA 70067-0010
Phone (504) 689-4122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1913171 | Other | LA | NABP |
| 1252875 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
2695 Jean Lafitte Blvd
Lafitte, LA 70067
Phone (504) 689-4122
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Lafitte, LA
- NPI 1053421198
-
- Pharmacist
- Harvey, LA
- NPI 1043933674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992852636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "LAFITTE",
"state": "LA",
"postal_code": "700670010",
"telephone_number": "504-689-4122",
"fax_number": "504-689-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 JEAN LAFITTE BLVD",
"city": "LAFITTE",
"state": "LA",
"postal_code": "70067",
"telephone_number": "504-689-4122",
"fax_number": "504-689-4125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEWELDE'S LAFITTE DRUGS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TEWELDE",
"authorized_official_first_name": "TADDESE",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "504-689-4122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "11262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1913171",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1252875",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafitte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.