LOUISIANA CVS PHARMACY LLC (NPI# 1487676136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487676136 |
| Entity Type | Organization |
| Organization Name | LOUISIANA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17177 |
| Practice Address |
2001 Millerville Rd Baton Rouge LA 70816-1408 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2252752109 |
| Practice Fax Number | 2252752109 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | SUSAN COLBERT (SR. 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 |
PHY.007337-RC | LA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2035340 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17177 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1619334703 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5000 North Claiborne Ave., New Orleans, LA 70117-4705 | 2016-01-21 |
| 1407211717 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 500 N Carrollton Ave # 1, New Orleans, LA 70119-4705 | 2015-12-31 |
| 1629447594 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1116 Louisiana Ave, New Orleans, LA 70115-2454 | 2015-09-21 |
| 1972983732 | Louisiana Cvs Pharmacy LLC | Pharmacy | 1204 Elton Rd, Jennings, LA 70546-4136 | 2015-06-05 |
| 1588044648 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 939 Girod St, Suite 160, New Orleans, LA 70113-0000 | 2015-06-04 |
| 1073919635 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1600 Elysian Fields Ave, New Orleans, LA 70117-8209 | 2014-11-10 |
| 1699180018 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20501 Old Scenic Highway, Zachary, LA 70791 | 2014-06-24 |
| 1740606763 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9326 Burbank Dr, Baton Rouge, LA 70820 | 2014-03-14 |
| 1548684293 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 800 Brownswitch Rd, Slidell, LA 70458-5334 | 2014-02-14 |
| Street Address |
2001 MILLERVILLE RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397032 | Lauren Alaine Knecht | Pharmacist | 2001 Millerville Rd, Baton Rouge, LA 70816-1408 | 2020-08-18 |
| 1093055436 | Dana Schmitt Madaffari | Pharmacist | 2001 Millerville Rd, Baton Rouge, LA 70816-1408 | 2013-02-21 |
| 1336411263 | Joshua Ward | Pharmacist | 2001 Millerville Rd, Baton Rouge, LA 70816-1408 | 2012-02-08 |
| 1386939239 | Rory Blaise Lato | Pharmacist | 2001 Millerville Rd, T2089, Baton Rouge, LA 70816-1408 | 2011-06-17 |
| 1225323199 | David Paul Ruckman | Pharmacist | 2001 Millerville Rd, Target Pharmacy Store Number T-2089, Baton Rouge, LA 70816-1408 | 2011-06-17 |
| 1497040653 | John Mitchell Ward | Pharmacist | 2001 Millerville Rd, Baton Rouge, LA 70816-1408 | 2011-06-16 |
| 1417003922 | Mary Garland Vaughan | Optometrist | 2001 Millerville Rd, Baton Rouge, LA 70816-1408 | 2007-01-26 |
| 1083767594 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2001 Millerville Rd, Baton Rouge, LA 70816-1408 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| 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 |
|---|---|---|---|---|
| 1306470265 | Capitol City Family Health Center, Incorporated | Pharmacy | 3111 Florida Blvd Ste B, Baton Rouge, LA 70806-3774 | 2020-02-28 |
| 1932615820 | Parkers Pharmacy LLC | Pharmacy | 9600 Florida Blvd, Suite 5, Baton Rouge, LA 70815-1110 | 2017-12-14 |
| 1164968491 | P & C Healthcare LLC | Pharmacy | 3490 Drusilla Ln, Baton Rouge, LA 70809-1866 | 2017-01-10 |
| 1538619614 | Keystone Pharmacy Services LLC | Pharmacy | Broussard Athletic Training Ctr, North Stadium Drive, Baton Rouge, LA 70803-0001 | 2016-10-12 |
| 1629528526 | Keystone Pharmacy Services LLC | Pharmacy | Student Health Center Building, Infirmary Dr Room 172 Louisiana State University, Baton Rouge, LA 70803-0001 | 2016-10-04 |
| 1346642329 | Brown's Pharmacy LLC | Pharmacy | 3111 Florida Blvd, Suite B, Baton Rouge, LA 70806-3758 | 2014-09-22 |
| 1215365341 | O'donovan Pharmacy | Pharmacy | 5131 Odonovan Dr Ste 402, Baton Rouge, LA 70808-4792 | 2013-10-29 |
| 1063789253 | Affordable Pharmacy LLC | Pharmacy | 1718 N Foster Dr Ste B, Baton Rouge, LA 70806-1076 | 2011-11-16 |
| 1184901696 | K & B Pharmacy | Pharmacy | 7353 Highland Rd, Baton Rouge, LA 70808-6610 | 2011-11-11 |
| 1942583166 | Landry Colham LLC | Pharmacy | 243 N Acadian Thruway Ste 1, Baton Rouge, LA 70806-3772 | 2011-09-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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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.