OLD GRETNA PHARMACY, LLC (NPI# 1841668530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841668530 |
| Entity Type | Organization |
| Organization Name | OLD GRETNA PHARMACY, LLC |
| Other Organization Name | OLD GRETNA PHARMACY |
| Practice Address |
500 Lafayette St Gretna LA 70053-5936 |
| Mailing Address |
Po Box 661 Gretna LA 70054-0661 |
| Practice Telephone | 5042529686 |
| Practice Fax Number | 5042529839 |
| Mailing Telephone | 5042529686 |
| Mailing Fax Number | 5042529839 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |
| Authorized Official Name | AMY STEELE (MANAGER) |
| Authorized Official Telephone | 5042529686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
PHY006869IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2153973 | 01 |
| Other Name | Type Code |
|---|---|
| Old Gretna Pharmacy | Doing Business As Name - Organization |
| Street Address |
500 LAFAYETTE ST |
| City | GRETNA |
| State | LA |
| Zip Code | 70053-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568777563 | Amy Steele | Pharmacist | 500 Lafayette St, Gretna, LA 70053-5936 | 2010-08-13 |
| 1699205138 | Chad M Rudolph | Pharmacist | 500 Lafayette St, Gretna, LA 70053-5936 | 2017-06-18 |
| 1295147130 | Jena Faciane | Pharmacist | 500 Lafayette St, Gretna, LA 70053-5936 | 2014-05-27 |
| 1659654267 | Old Gretna Pharmacy | Pharmacy | 500 Lafayette St, Gretna, LA 70053-5936 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917247 | Lindsey Boler | Case Manager/Care Coordinator | Maxima Group Behavioral Services, 405 Gretna Blvd, LA 70053 | 2020-09-22 |
| 1184254658 | Denni Turner | Counselor | 2100 Belle Chasse Hwy., Gretna, LA 70053 | 2020-01-23 |
| 1871068478 | Nhi Cam Tran | Pharmacist | 629 Derbigny St, Gretna, LA 70053 | 2018-10-10 |
| 1639655574 | Rachel Lynn White | Massage Therapist | 2120 Belle Chase Hwy, Gretna, LA 70053 | 2018-07-13 |
| 1982193165 | Quality Care Home Care LLC | In Home Supportive Care | 310 Huey P Long Ave Ste 109, Gretna, LA 70053 | 2018-05-03 |
| 1073021663 | Nola Psychotherapy Center | Counselor | 405 Gretna Boulevard, Suite 200, Gretna, LA 70053 | 2018-01-17 |
| 1396256707 | Quality Independent Case Management, LLC | Case Management | 1530 Huey P Long Ave, Gretna, LA 70053 | 2017-10-12 |
| 1790223444 | Tekira Fox | Case Manager/Care Coordinator | 1500 Lafayette St. Ste 140, Gretna, LA 70053 | 2017-02-02 |
| 1710359542 | Joshua Washington | Counselor | 2100 Belle Chasse Highway, Gretna, LA 70053 | 2015-10-20 |
| 1174877328 | Audra Javaise Tousaint | Counselor | 405 Gretna Blvd Ste 200, Gretna, LA 70053 | 2012-11-08 |
| Find all providers in zip 70053 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1083975486 | Zachary Rx Inc | Pharmacy | 2400 Church Point Hwy Ste A, Rayne, LA 70578-7661 | 2012-06-01 |
| 1982936886 | Brand Direct Health LLC | Pharmacy | 68397 Tammany Trace Dr, Mandeville, LA 70471-7776 | 2010-02-03 |
| 1437162740 | C & C Drugs, Inc. | Pharmacy | 1705 Highway 59, Suite 4, Mandeville, LA 70448-1950 | 2006-08-15 |
| 1619992427 | Soileau's Vital Care, Inc. | Pharmacy | 7612 Picardy Ave, Ste B, Baton Rouge, LA 70808-4353 | 2006-07-13 |
| 1104438084 | Compounding Pharmacies of Louisiana, Inc. | Pharmacy | 128 Curran Ln, Lafayette, LA 70506-7222 | 2020-08-20 |
| 1477019719 | Gem Drugs Inc | Pharmacy | 139 Central Ave, Reserve, LA 70084-6001 | 2019-02-12 |
| 1922549971 | Express Pharmacy Solutions | Pharmacy | 2706 Hessmer Ave, Suite A, Metairie, LA 70002-7041 | 2017-03-10 |
| 1700245289 | The Wellness Corner, LLC | Pharmacy | 17733 Old Jefferson Hwy, Prairieville, LA 70769-3934 | 2016-02-12 |
| 1114189206 | Caremark, L.L.C. | Pharmacy | 125 Mallard St, Ste. C, Saint Rose, LA 70087-4020 | 2008-06-30 |
| 1073528626 | Triel Regions Pharmacy | Pharmacy | 9270 Siegen Ln, Ste 803, Baton Rouge, LA 70810-1998 | 2006-07-30 |
| Find all providers with the same taxonomy | ||||
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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.