DEREK FONTENOT
NPI 1609311927
Pharmacist in Lake Charles, LA

Active since December 21, 2016
2011 RYAN ST, LAKE CHARLES, LA 70601(337) 508-3864 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Fontenot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK FONTENOT (NPI 1609311927) is an individual pharmacist in Lake Charles, Louisiana, licensed in Louisiana (PST.021842) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1609311927
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDEREK FONTENOT
Location Address2011 RYAN STLake Charles, LA 70601-7313
Mailing Address1531 Country Club Rd Apt 511Lake Charles, LA 70605-5343
Sole ProprietorYes
Enumeration DateDecember 21, 2016
NPI 1609311927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in LA · PST.021842
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
2011 RYAN ST, Lake Charles, LA 70601

Other Identifiers 1

OtherPST.021842LA · Louisiana Board Of Pharmacy

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2011 RYAN ST
LAKE CHARLES, LA 70601
Pharmacy (Community/Retail Pharmacy)
2011 RYAN ST
LAKE CHARLES, LA 70601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Fontenot's NPI number?

The NPI number for Derek Fontenot is 1609311927. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Derek Fontenot located?

Derek Fontenot practices at 2011 Ryan St, Lake Charles, LA 70601. The listed phone number is (337) 508-3864.

What is Derek Fontenot's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Derek Fontenot was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.