NPIMap

Organization Active NPI

St. Amant Family Pharmacy LLC

Doing business as St. Amant Pharmacy

  • Community/Retail Pharmacy
  • Saint Amant, LA
National Provider Identifier
1013552942
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST. AMANT FAMILY PHARMACY LLC
Doing business as
St. Amant Pharmacy
Practice address
12502 Highway 431
Saint Amant, LA 70774-3418
Phone
(225) 644-7288
Fax
(225) 647-6639
NPI assigned
Nov 14, 2019
Last updated
Nov 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Dana AntoonNPI 1912309451
Title
RPH,Manager,Owner
Phone
(985) 514-3173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12502 Highway 431
Saint Amant, LA 70774-3418

Mailing address

1812 W Thomas St
Hammond, LA 70401-2945
Phone (985) 345-4767

Other names 1

  • St. Amant Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200512001423 LA Part B Supplier - Pharmacy 3375974199 Practice locations: Saint Amant, LA

National Provider Directory

National Provider Directory

Locations

12502 Highway 431
Saint Amant, LA 70774
Phone (225) 644-7288

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1013552942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012945",
            "telephone_number": "985-345-4767",
            "fax_number": "985-345-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 HIGHWAY 431",
            "city": "SAINT AMANT",
            "state": "LA",
            "postal_code": "707743418",
            "telephone_number": "225-644-7288",
            "fax_number": "225-647-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AMANT FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "ANTOON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "RPH,MANAGER,OWNER",
        "authorized_official_telephone_number": "985-514-3173"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Amant Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Amant, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.