NPIMap

Organization Active NPI

Ochsner Pharmacy and Wellness LLC

  • Community/Retail Pharmacy
  • Slidell, LA
National Provider Identifier
1013568047
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OCHSNER PHARMACY AND WELLNESS LLC
Doing business as
Ochsner Pharmacy and Wellness- Slidell Memorial Hospital
Practice address
1051 Gause Blvd Ste 101
Slidell, LA 70458-2951
Phone
(985) 639-3726
Fax
(985) 639-3729
NPI assigned
Sep 20, 2019
Organization subpart
Yes
Parent organization
OCHSNER PHARMACY AND WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Richard R Rovira, PHARM D
Title
Director Retail Pharmacy
Phone
(504) 842-8623

Specialties & licenses 1

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

Addresses

Primary practice location

1051 Gause Blvd Ste 101
Slidell, LA 70458-2951

Mailing address

1051 Gause Blvd Ste 101
Slidell, LA 70458-2951
Phone (985) 639-3726

Other names 1

  • Ochsner Pharmacy and Wellness- Slidell Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822000419 LA Part B Supplier - Pharmacy 8022331636 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Terrytown, LA; Baton Rouge, LA; Slidell, LA; Raceland, LA; New Orleans, LA; Metairie, LA; Covington, LA; Jefferson, LA…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Ochsner Pharmacy9 organizations share this tax ID, including this one
Part of
Ochsner Pharmacy

Other organizations with this tax ID 8

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

Locations

1501 Gause Blvd
Ste 101
Slidell, LA 70458

1051 Gause Blvd
Ste 101
Slidell, LA 70458
Phone (985) 639-3726

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1013568047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD STE 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-639-3726",
            "fax_number": "504-842-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD STE 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-639-3726",
            "fax_number": "985-639-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER PHARMACY AND WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCHSNER PHARMACY AND WELLNESS LLC",
        "enumeration_date": "2019-09-20",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "ROVIRA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR RETAIL PHARMACY",
        "authorized_official_telephone_number": "504-842-8623",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner Pharmacy and Wellness- Slidell Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ochsner Pharmacy and Wellness- Slidell Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.