LOUISIANA CVS PHARMACY LLC (NPI# 1609120062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609120062 |
| Entity Type | Organization |
| Organization Name | LOUISIANA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #08961 |
| Practice Address |
12880 Airline Hwy Baton Rouge LA 70817 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 2257513611 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2014-12-15 |
| 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 | PHY006641 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | PHARMACY STATE LICENSE | PHY006641RC | 01 |
| LA | 2201867 | 05 | |
| DEA | FL3651949 | 01 | |
| NCPDP | 1936597 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08961 | 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 |
12880 AIRLINE HWY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053869081 | Cvs | Community/Behavioral Health | 12880 Airline Hwy, Baton Rouge, LA 70817-5105 | 2016-09-20 |
| 1225408347 | Dat Huu Do | Pharmacist | 12880 Airline Hwy, Baton Rouge, LA 70817-5105 | 2015-10-01 |
| 1902212558 | Maria Cuc Nguyen | Pharmacist | 12880 Airline Hwy, Baton Rouge, LA 70817-5105 | 2014-07-03 |
| 1316373533 | Patrick Neal Hanegan | Pharmacist | 12880 Airline Hwy, Baton Rouge, LA 70817-5105 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| 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 | 70817 |
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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.