LOUISIANA CVS PHARMACY, L.L.C. (NPI# 1154425064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154425064 |
| Entity Type | Organization |
| Organization Name | LOUISIANA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #05284 |
| Practice Address |
705 Bertrand Dr Lafayette LA 70506-5546 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3372327380 |
| Practice Fax Number | 3372327791 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-06-19 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 5846 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 001265390 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1901467 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #05284 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750730057 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 10460 Norris Ferry Rd, Shreveport, LA 71106 | 2016-06-07 |
| 1356612956 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1695 Highway 59, Mandeville, LA 70448 | 2012-01-13 |
| 1467769141 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3700 S Carrollton Ave, New Orleans, LA 70118 | 2010-09-02 |
| 1609182625 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7411 Florida Blvd, Baton Rouge, LA 70806-4639 | 2010-08-27 |
| 1124349824 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3200 Highland Rd, Baton Rouge, LA 70802 | 2010-06-16 |
| 1013235993 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1326 W Pinhook Rd, Lafayette, LA 70503-2900 | 2010-05-17 |
| 1134445018 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1203 Westbank Expy, Westwego, LA 70094-4755 | 2010-04-16 |
| 1518289396 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5044 Ambassador Caffery Rd, Lafayette, LA 70508 | 2010-02-22 |
| 1356671374 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2910 E. Milton Ave, Youngsville, LA 70592 | 2010-01-14 |
| 1528295177 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4540 Highway 22, Mandeville, LA 70471 | 2009-06-22 |
| Street Address |
705 BERTRAND DR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577046 | Ann Hong Dinh | Pharmacist | 705 Bertrand Dr, Lafayette, LA 70506-5546 | 2020-10-26 |
| 1902456601 | Gabrielle Vincent | Pharmacist | 705 Bertrand Dr, Lafayette, LA 70506-5546 | 2019-09-13 |
| 1235687997 | Samantha Carr | Pharmacist | 705 Bertrand Dr, Lafayette, LA 70506-5546 | 2016-09-12 |
| 1558745919 | Steven Vincent Gogola | Pharmacist | 705 Bertrand Dr, Lafayette, LA 70506-5546 | 2015-07-16 |
| 1033493697 | Merlin Anthony Lacombe Jr. | Pharmacist | 705 Bertrand Dr, Lafayette, LA 70506-5546 | 2011-09-30 |
| 1164706909 | Stacye Rochelle Anderson | Pharmacist | 705 Bertrand Dr, Lafayette, LA 70506-5546 | 2011-09-28 |
| 1134401243 | Jimmy E Brantley | Pharmacist | 705 Bertrand Dr, Lafayette, LA 70506-5546 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720525124 | Sisters of Charity of Leavenworth Health System Inc | Pharmacy | 200 Exempla Cir Ste P1-142, Lafayette, CO 80026-3370 | 2017-01-23 |
| 1780068155 | Louisiana Specialty Pharmacy Inc | Pharmacy | 600 Johnston St Ste B, Lafayette, LA 70501-8060 | 2015-07-16 |
| 1386027381 | Costco Wholesale Corporation | Pharmacy | 201 Meadow Farm Rd, Lafayette, LA 70508 | 2015-07-08 |
| 1619385812 | Park Pharmacy LLC | Pharmacy | 4811 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-7266 | 2014-07-31 |
| 1912326968 | Icare Johnston Street | Pharmacy | 2039 Johnston Street, Lafayette, LA 70503 | 2014-04-07 |
| 1790021962 | Indiana University Health Arnett Inc | Pharmacy | 5165 Mccarty Ln Rm Ag320, Lafayette, IN 47905-8764 | 2012-12-17 |
| 1417239641 | Palliative Pharmacy Solutions LLC | Pharmacy | 620 Guilbeau Rd Ste D, Lafayette, LA 70506-8709 | 2011-09-14 |
| 1649324088 | Lowes Pharmacy Inc | Pharmacy | 339 9th Ave Sw, Lafayette, AL 36862-2803 | 2007-01-23 |
| 1194881466 | Louvella H Granger | Pharmacy | 3810 Ambassador Caffery Pkwy Ste 200, Lafayette, LA 70503-5259 | 2006-12-29 |
| 1386700656 | D & L Family Pharmacy Inc | Pharmacy | 3810 Ambassador Caffery Pkwy Ste 210, Lafayette, LA 70503-5259 | 2006-12-29 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on LOUISIANA CVS PHARMACY, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.