Louis Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026513 Issued in NY

Legal business name

LOUIS PHARMACY INC.

Practice address

4704 White Plains Rd
Bronx, NY 10470-1103

Phone

(718) 324-0555

Fax

(718) 324-4574

NPI assigned

Nov 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joby Nellickel

Title

President, Pic

Phone

(718) 324-0555

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CITY LINE PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1013080209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701103",
            "telephone_number": "718-324-0555",
            "fax_number": "718-324-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701103",
            "telephone_number": "718-324-0555",
            "fax_number": "718-324-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "NELLICKEL",
        "authorized_official_first_name": "JOBY",
        "authorized_official_title_or_position": "PRESIDENT, PIC",
        "authorized_official_telephone_number": "718-324-0555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02501164",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3371426",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY LINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CITY LINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quinn Lougheide, MD
• Georgia Loughlin, LSMW
• Mary Rose Loughran, PA-C
• Victoria Naomi Louie
• Louis B. Gennarelli, MD, PC
• Louis W Jacobs DPM, PC
• Dominique Pierre Louis
• Elta Louis
• Franclessa Louis
• Jean Claude Louis

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.