LOUISIANA CVS PHARMACY, L.L.C. (NPI# 1700980646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700980646 |
| Entity Type | Organization |
| Organization Name | LOUISIANA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #05374 |
| Practice Address |
14360 Wax Rd Baton Rouge LA 70818-4279 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2252616541 |
| Practice Fax Number | 2252620502 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-04-20 |
| 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 | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
5813 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1918979 | 01 | |
| LA | 001264946 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #05374 | 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 |
| 1356612956 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1695 Highway 59, Mandeville, LA 70448 | 2012-01-13 |
| 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 |
| Street Address |
14360 WAX RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70818-4279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636798 | Indya Bruce | Pharmacist | 14360 Wax Rd, Baton Rouge, LA 70818-4279 | 2019-09-03 |
| 1790294882 | Renee Angelus | Pharmacist | 14360 Wax Rd, Baton Rouge, LA 70818-4279 | 2017-09-21 |
| 1548678469 | Dawn Melancon | Nurse Practitioner | 14360 Wax Rd, Baton Rouge, LA 70818-4279 | 2014-07-23 |
| 1346672748 | Sherletha Monique Nelson | Nurse Practitioner | 14360 Wax Rd, Baton Rouge, LA 70818-4279 | 2013-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508385576 | Stacia Clay | Driver | 8210 Brennen Drive, Baton Rouge, LA 70818 | 2017-09-11 |
| 1952650376 | Tara Rispone Delee | Social Worker | 12249 Hooper Road, Baton Rouge, LA 70818 | 2012-08-30 |
| 1417231705 | Cyril Floyd Broussard | Pharmacist | 14360 Wax Rd., Central, LA 70818 | 2011-10-05 |
| 1972887263 | Charles Erwin Seymour | Pharmacist | 14360 Wax Road, Central, LA 70818 | 2011-10-05 |
| 1306146089 | Central Chiropractic Center, Inc. | Preferred Provider Organization | 8755 Sullivan Road, Suite A, Central, LA 70818 | 2010-10-27 |
| 1649596321 | Fast Lane of Central LLC | Clinic/Center | 11421 Sullivan Rd, Bldg B, Baton Rouge, LA 70818 | 2010-04-20 |
| 1992837710 | James H Hebert | Dentist | 11424 Sullivan Road, Suite A, Baton Rouge, LA 70818 | 2007-03-09 |
| 1235295221 | Walter Jules Vaughan | Dentist | 13323 Hooper Rd., Baton Rouge, LA 70818 | 2006-12-28 |
| 1245329325 | Melissa R Barrett | Emergency Medicine | 11055 Shoe Creek Dr, Baton Rouge, LA 70818 | 2006-10-12 |
| 1740208867 | Michael Romaguera | Family Medicine | 11055 Shoe Creek Drive, Baton Rouge, LA 70818 | 2006-07-17 |
| Find all providers in zip 70818 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073733325 | Stanocola Employees Medical & Hospital Association, Inc | Pharmacy | 16777 Medical Center Dr, Suite 400, Baton Rouge, LA 70816-3254 | 2007-04-27 |
| 1548271653 | Earl K Long Medical Center | Pharmacy | 5825 Airline Hwy, Baton Rouge, LA 70805-2408 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572049 | Fmol Health Systems | Pharmacy | 4809 Ambassador Caffery Pkwy Ste 120a, Lafayette, LA 70508-8800 | 2020-09-11 |
| 1548823370 | Pbm Solutions Coushatta LLC | Pharmacy | 287 Panther Trail Dr, Kinder, LA 70648 | 2019-04-17 |
| 1114495355 | Iberia Comprehensive Community Health Center | Pharmacy | 1009 Charity Street, Abbeville, LA 70510-5239 | 2018-11-06 |
| 1780152157 | Vernon Parish Community Health Center Pharmacy | Pharmacy | 298 Nolan Trace Pkway, Leesville, LA 71446-3912 | 2018-11-05 |
| 1639702087 | Teche Action Board, Inc. | Pharmacy | 1124 7th St, Morgan City, LA 70380-1951 | 2020-02-13 |
| 1790158681 | Obh Region 8 Pharmacy | Pharmacy | 4800 S Grand St, Monroe, LA 71202-6412 | 2015-11-02 |
| 1558756742 | South Central La Human Services Authority Pharmacy | Pharmacy | 1809 W Airline Hwy, La Place, LA 70068-3336 | 2015-04-03 |
| 1740617364 | Our Lady of The Angels Hospital, Inc. | Pharmacy | 400 Memphis Street, Bogalusa, LA 70427 | 2013-09-27 |
| 1790021939 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| 1831490531 | Specialists Hospital of Shreveport LLC | Pharmacy | 1500 Line Ave, Ste #104b, Shreveport, LA 71101-4639 | 2010-11-11 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70818 |
Please comment or provide details below to improve the information on LOUISIANA CVS PHARMACY, L.L.C..
| 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.