Organization Active NPI

Priority Health Care

  • Specialty Pharmacy
  • Gretna, LA
National Provider Identifier
1023571536
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PRIORITY HEALTH CARE
Practice address
12 Westbank Expy
Gretna, LA 70053-3647
Phone
(504) 509-5442
Fax
(504) 509-5421
NPI assigned
Apr 11, 2019
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Mrs. Tamara Boutte Dioubate, MSW, MSHCM
Title
Ceo
Phone
(504) 309-6522

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Clinic Pharmacy 3336C0002X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

12 Westbank Expy
Gretna, LA 70053-3647

Mailing address

4700 Wichers Dr Ste 306
Marrero, LA 70072-3054
Phone (504) 309-6522

Other names 1

  • Priority Health Care Pharmacy - Gretna Other name

National Provider Directory

National Provider Directory
Tax ID family
Priority Health Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

12A Westbank Expy
Ste 101
Gretna, LA 70053
Phone (504) 509-5437

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1023571536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WICHERS DR STE 306",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723054",
            "telephone_number": "504-309-6522",
            "fax_number": "504-309-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533647",
            "telephone_number": "504-509-5442",
            "fax_number": "504-509-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "DIOUBATE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "BOUTTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-309-6522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, MSHCM"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Health Care Pharmacy - Gretna",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Priority Health Care Pharmacy - Gretna",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.