Pharmacy City LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5814IR Issued in LA

Legal business name

PHARMACY CITY LLC

Practice address

3805 Jefferson Hwy
Jefferson, LA 70121-1625

Phone

(504) 834-2525

Fax

(504) 834-2515

NPI assigned

Jun 6, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Reynolds, PHRMD

Title

Owner

Phone

(504) 828-1606

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pharmacy City LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pharmacy City LLC

  • Community/Retail Pharmacy
  • Slidell, LA
  • NPI 1912028937
  NPD tax ID

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1013110246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211625",
            "telephone_number": "504-834-2525",
            "fax_number": "504-834-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-828-1606",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "5814IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1933301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Vardeman Pepiton, PT
• Stephen Joseph Pergantis, ACNPC-AG
• Madeline Ann Perk, CF-SLP
• Amber Petrey
• Trang T Pham, RDH
• Johnathon Franklin Phillips, MD
• Lydie Mary Phillips, LCSW, RN
• Alexander Picariello, MD
• Olga Lopez Pinar
• Peyton Brooks Plummer

• Community/Retail Pharmacy in Jefferson, LA
• Providers in Jefferson, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.