LOUISIANA CVS PHARMACY, L.L.C. (NPI# 1164526000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164526000 |
| Entity Type | Organization |
| Organization Name | LOUISIANA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 5455 |
| Practice Address |
1269 Sam Houston Jones Pkwy Lake Charles LA 70611-5469 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3378551341 |
| Practice Fax Number | 3378554273 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-07-25 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 5830 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 001265071 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1919743 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 5455 | 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 |
1269 SAM HOUSTON JONES PKWY |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70611-5469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387100 | T'chyra Silas | Pharmacist | 1269 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5469 | 2020-08-18 |
| 1740723949 | Khalil Gaieb | Pharmacist | 1269 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5469 | 2016-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417429036 | Ochsner Clinic LLC | Internal Medicine | 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 | 2018-12-20 |
| 1538669361 | Nafeesa Zindani | Family Medicine | Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 | 2018-02-19 |
| 1265930457 | Mark Kwame Osebre | Pharmacist | 120 Us-171, Moss Bluff, LA 70611 | 2018-01-23 |
| 1255840690 | Eavy's Medical Transportation | Non-emergency Medical Transport (VAN) | 1274 You Winn Rd, Moss Bluff, LA 70611 | 2017-09-28 |
| 1417324112 | Golden Touch LLC | Respite Care | 633 Donna Dr., Lake Charles, LA 70611 | 2015-08-28 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
| 1235435314 | John Trahan II Apdc | Dentist | 139 Gloria Dr., Lake Charles, LA 70611 | 2011-02-07 |
| 1629383559 | Michael Rand Pettit | Pharmacist | 114 Gloria Dr, Lake Charles, LA 70611 | 2010-08-16 |
| 1851417844 | Steven Raymond Latiolais | Dentist | 644 Highway 171 N, Suite D, Lake Charles, LA 70611 | 2007-03-21 |
| Find all providers in zip 70611 | ||||
| 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 |
|---|---|---|---|---|
| 1780234567 | Avita Drugs LLC | Pharmacy | 1715 Common St Ste A, Lake Charles, LA 70601-6135 | 2019-09-13 |
| 1265091474 | Medicis LLC | Pharmacy | 1727 Imperial Blvd Bldg 4, Lake Charles, LA 70605-5393 | 2019-06-11 |
| 1780108704 | Vital Rx of Louisiana LLC | Pharmacy | 722 N Highway 171, Lake Charles, LA 70611-5035 | 2017-08-01 |
| 1184019846 | Children's Pharmacy | Pharmacy | 4111 Lake St, Lake Charles, LA 70605-4305 | 2015-03-31 |
| 1215363270 | Briovarx of Louisiana LLC | Pharmacy | 1737a Sam Houston Jones Pkwy, Lake Charles, LA 70611-5454 | 2013-09-23 |
| 1982837365 | Partners Pharmacy LLC | Pharmacy | 3915 Kirkman St, Lake Charles, LA 70607-3503 | 2009-09-01 |
| 1003976028 | Lake Area Pharmacy | Pharmacy | 223 Dr Michael Debakey Dr, Lake Charles, LA 70601-5974 | 2006-12-11 |
| 1457427551 | Pryces Pharmacy Inc | Pharmacy | 331 Enterprise Blvd, Lake Charles, LA 70601-3240 | 2006-11-28 |
| 1487720314 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 4828 Nelson Rd, Lake Charles, LA 70605 | 2006-11-24 |
| 1447343157 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 2000 Ryan St, Lake Charles, LA 70601 | 2006-10-02 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70611 |
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.