LOUISIANA CVS PHARMACY LLC (NPI# 1629447594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629447594 |
| Entity Type | Organization |
| Organization Name | LOUISIANA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY# 10058 |
| Practice Address |
1116 Louisiana Ave New Orleans LA 70115-2454 |
| Mailing Address |
1 Cvs Dr Box 1075 Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 5048911818 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | SUSAN 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2204025 | 05 | |
| NCPDP | 1938919 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY# 10058 | 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 |
| 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 |
| 1417388265 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 304 S 5th St, Leesville, LA 71446-4346 | 2013-12-04 |
| Street Address |
1116 LOUISIANA AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| 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 |
|---|---|---|---|---|
| 1619446523 | Brown Jackson Enterprise LLC | Pharmacy | 3035 1/2 Paris Ave, New Orleans, LA 70119-1715 | 2018-11-20 |
| 1669948162 | Broad Avenue Pharmacy LLC | Pharmacy | 1400 N Broad St, New Orleans, LA 70119-2332 | 2018-10-23 |
| 1598241424 | Peoples Pharmacy | Pharmacy | 7701 Dwyer Rd Ste 101, New Orleans, LA 70126-4390 | 2018-07-13 |
| 1609388370 | Vu & Nguyen Family 2 LLC | Pharmacy | 10200 Chef Menteur Hwy Ste C, New Orleans, LA 70127-4263 | 2017-11-02 |
| 1518477355 | Votran Rx LLC | Pharmacy | 4646 Michoud Blvd Ste D5, New Orleans, LA 70129-1800 | 2017-10-06 |
| 1497287759 | The Administrators of The Tulane Educational Fund | Pharmacy | 131 S Robertson St Ste 1075, New Orleans, LA 70112-2807 | 2017-03-28 |
| 1962955658 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 2820 Napoleon Ave Ste 220, New Orleans, LA 70115-6969 | 2016-07-28 |
| 1003273392 | Canal Street Pharmacy LLC | Pharmacy | 2525 Canal Street, New Orleans, LA 70119 | 2016-01-19 |
| 1356757256 | Pegasus Biologics LLC | Pharmacy | 5700 Citrus Blvd Ste D, New Orleans, LA 70123-8501 | 2014-07-11 |
| 1073934733 | Express Pharmacy Solutions | Pharmacy | 1441 Canal St, Ste. 201, New Orleans, LA 70112-2714 | 2013-12-26 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
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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.