Organization Active NPI

Tewelde's Lafitte Drugs

  • Pharmacist
  • Lafitte, LA
National Provider Identifier
1992852636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11262 Issued in LA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1913171OtherLANABP
1252875MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.