LOUISIANA CVS PHARMACY, L.L.C. (NPI# 1356612956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356612956 |
| Entity Type | Organization |
| Organization Name | LOUISIANA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #06360 |
| Practice Address |
1695 Highway 59 Mandeville LA 70448 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 9856268818 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2019-03-14 |
| 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 | Suppliers |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #06360 | 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 |
| 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 |
| 1952538597 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2831 Belle Chasse Hwy, Terrytown, LA 70056-7132 | 2009-06-22 |
| Street Address |
1695 HIGHWAY 59 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217586 | Dalton Roy Gelpi | Pharmacist | 1695 Highway 59, Mandeville, LA 70448-1955 | 2018-09-03 |
| 1528498961 | Rhiannon G Jeansonne | Pharmacist | 1695 Highway 59, Mandeville, LA 70448-3298 | 2013-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| 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 |
|---|---|---|---|---|
| 1548616998 | Mandeville Pharmacy LLC | Pharmacy | 1655 Highway 190, Mandeville, LA 70448-3582 | 2016-05-04 |
| 1316964935 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 4350 Highway 22, Mandeville, LA 70471-3348 | 2006-07-17 |
| 1881619435 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 3450 Highway 190, Mandeville, LA 70471-3196 | 2006-07-13 |
| 1134150105 | K Mart Corp | Pharmacy | 3555 Highway 190, Mandeville, LA 70471-3138 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766563 | Bartley Enterprises | Pharmacy | 11634 Texas Hwy, Many, LA 71449 | 2020-10-02 |
| 1982218392 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 2500 Belle Chasse Hwy Ste T1224, Gretna, LA 70056-7127 | 2020-09-02 |
| 1477162972 | Mercy Medical Health Center | Pharmacy | 4631 Quitman Hwy, Hodge, LA 71247 | 2020-07-30 |
| 1306470265 | Capitol City Family Health Center, Incorporated | Pharmacy | 3111 Florida Blvd Ste B, Baton Rouge, LA 70806-3774 | 2020-02-28 |
| 1215561527 | Caldwell Drug | Pharmacy | 8141 Us Hwy. 165, Columbia, LA 71418 | 2020-02-25 |
| 1962042028 | Southeast Community Health Systems Pharmacy Kentwood | Pharmacy | 734 Avenue G, Kentwood, LA 70444-2602 | 2020-01-07 |
| 1780234567 | Avita Drugs LLC | Pharmacy | 1715 Common St Ste A, Lake Charles, LA 70601-6135 | 2019-09-13 |
| 1386204659 | Highrhealth | Pharmacy | 516 N Burnside Ave, Gonzales, LA 70737-2830 | 2019-06-18 |
| 1265091474 | Medicis LLC | Pharmacy | 1727 Imperial Blvd Bldg 4, Lake Charles, LA 70605-5393 | 2019-06-11 |
| 1639642556 | Hospital Service District 1 of East Baton Rouge Parish | Pharmacy | 6300 Main St Ste 100, Zachary, LA 70791-4037 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
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| 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.