NPIMap

Organization Active NPI

St Tammany Parish Hospital Service District No 1

Doing business as St. Tammany Health System Pharmacy at Braswell's

  • Community/Retail Pharmacy
  • Covington, LA
National Provider Identifier
1043715089
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.007668-IR Issued in LA
Legal business name
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Doing business as
St. Tammany Health System Pharmacy at Braswell's
Practice address
1107 S Tyler St
Covington, LA 70433-2327
Phone
(985) 892-0818
Fax
(985) 892-2742
NPI assigned
Mar 29, 2018
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Mrs. Lesleigh A Hall, JD
Title
Avp Legal Affairs
Phone
(985) 871-5830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY.007668-IR LA Primary

Addresses

Primary practice location

1107 S Tyler St
Covington, LA 70433-2327

Mailing address

1107 S Tyler St
Covington, LA 70433-2327
Phone (985) 871-5830

Other names 3

  • St. Tammany Health System Pharmacy at Braswell's Doing business as
  • M & W Covington Former legal business name
  • BRASWELL DRUGS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231121000179 LA Part B Supplier - Pharmacy 0749273761 Practice locations: Covington, LA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
St Tammany Parish Hospital Employee Pharmacy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1107 S Tyler St
Covington, LA 70433
Phone (985) 892-0818

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Shore Rehabilitation HospitalLacombe, LA, CCN 713025 Hospital 5% Or Greater Direct Ownership Interest (30%) Sep 6, 2019
St Tammany Hospital Home HealthMadisonville, LA, CCN 197168 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 24, 1984
Oct 24, 1984

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1043715089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332327",
            "telephone_number": "985-871-5830",
            "fax_number": "985-892-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332327",
            "telephone_number": "985-892-0818",
            "fax_number": "985-892-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LESLEIGH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AVP LEGAL AFFAIRS",
        "authorized_official_telephone_number": "985-871-5830",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007668-IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Tammany Health System Pharmacy at Braswell's",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M & W Covington",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "M & W Covington",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "BRASWELL DRUGS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.