LOUISIANA CVS PHARMACY LLC (NPI# 1588686232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588686232 |
| Entity Type | Organization |
| Organization Name | LOUISIANA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16738 |
| Practice Address |
1720 W Prien Lake Rd Lake Charles LA 70601-8361 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3375627802 |
| Practice Fax Number | 3376564903 |
| 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.007342-RC | LA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2035054 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16738 | 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 |
1720 W PRIEN LAKE RD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639420219 | Christina Pauline Nordan | Pharmacist | 1720 W Prien Lake Rd, Lake Charles, LA 70601-8361 | 2012-09-24 |
| 1154698181 | Karen Q. Williams | Pharmacist | 1720 W Prien Lake Rd, Lake Charles, LA 70601-8361 | 2011-11-18 |
| 1225345762 | Binh T Le | Pharmacist | 1720 W Prien Lake Rd, Lake Charles, LA 70601-8361 | 2010-09-03 |
| 1326355868 | Brigitte Johnson | Pharmacist | 1720 W Prien Lake Rd, Lake Charles, LA 70601-8361 | 2010-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 | 70601 |
Please comment or provide details below to improve the information on LOUISIANA CVS PHARMACY LLC.
| 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.