LOUISIANA CVS PHARMACY, L.L.C. (NPI# 1225132137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225132137 |
| Entity Type | Organization |
| Organization Name | LOUISIANA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY 05611 |
| Practice Address |
9407 E Park Ave Houma LA 70363-3946 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9858763117 |
| Practice Fax Number | 9858766122 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | SUSAN F 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 | 5451 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 001265276 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1924047 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 05611 | 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 |
9407 E PARK AVE |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770057457 | Thanh Nguyen | Pharmacist | 9407 E Park Ave, Houma, LA 70363-3946 | 2019-01-16 |
| 1477803732 | Crystal Lynn Thomas | Pharmacist | 9407 E Park Ave, Houma, LA 70363-3946 | 2012-09-14 |
| 1093092504 | Ifechukwu Onwuka | Pharmacist | 9407 E Park Ave, Houma, LA 70363-3946 | 2011-11-11 |
| 1629351804 | Janelle Dionne Austrom | Pharmacist | 9407 E Park Ave, Houma, LA 70363-3946 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
| Find all providers in zip 70363 | ||||
| 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 |
|---|---|---|---|---|
| 1194187591 | St. Vincent De Paul Tri Parish Pharmacy | Pharmacy | 7385 Main St, Houma, LA 70360-4021 | 2016-03-24 |
| 1801210935 | Peoples Drug Store | Pharmacy | 7869 Main Street, Houma, LA 70360 | 2014-02-10 |
| 1548564677 | March Willows | Pharmacy | 2138 Bayou Blue Rd, Houma, LA 70364-3909 | 2011-01-04 |
| 1518092436 | Peoples Drug Store Inc | Pharmacy | 101 Goode St, Houma, LA 70360-4443 | 2007-02-22 |
| 1417026360 | Broadmoor Drug Center Inc | Pharmacy | 6096 W Park Ave, Houma, LA 70364-1808 | 2006-11-07 |
| 1629172689 | Haydels Drug Store Inc | Pharmacy | 4752 Highway 311 Ste 100, Houma, LA 70360-2810 | 2006-09-12 |
| 1104930189 | Haydels Drug Store Inc | Pharmacy | 831 Grand Caillou Rd, Houma, LA 70363-5882 | 2006-08-18 |
| 1366939613 | Peoples Drug Store | Pharmacy | 7869 Main St, Houma, LA 70360-4461 | 2018-04-21 |
| 1639517550 | Southern Regional Medical Corporation | Pharmacy | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2013-06-13 |
| 1760686869 | Houma Family Drugs | Pharmacy | 606 Liberty St, Suite A, Houma, LA 70360-4622 | 2007-06-13 |
| Find all providers in HOUMA | ||||
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.