Healthcare Provider Details

I. General information

NPI: 1477476190
Provider Name (Legal Business Name): JAMES KENT LANDRY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 FIREBIRD LN
SCOTT LA
70583-5036
US

IV. Provider business mailing address

206 FIREBIRD LN
SCOTT LA
70583-5036
US

V. Phone/Fax

Practice location:
  • Phone: 337-268-4023
  • Fax:
Mailing address:
  • Phone: 337-268-4023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPST.022715
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: