St Tammany Parish Hospital Service District No 1
Organization Active NPI Community/Retail Pharmacy · Covington, LA
NPI 1043715089 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1043715089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY.007668-IR (LA)
- Legal business name
- ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
- Practice address
- 1107 S Tyler St
Covington, LA 70433-2327 - Phone
- (985) 892-0818
- Fax
- (985) 892-2742
- NPI assigned
- Mar 29, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lesleigh A Hall, JD
- Title
- Avp Legal Affairs
- Phone
- (985) 871-5830
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 9
Practitioners 163
-
Farah Ali, DO
-
Juzar Ali, MD.,FRCP., FCCP(C)
-
Sandra R Almerico, APRN - ANP
-
Luis M Alvarado, M.D.
-
Robert John Amato, M.D.
-
Leslie S Arceneaux, MSN, C-FNP, CDE
-
Andrew Michael Baier, M.D.
-
Charles E. Baier, M.D.
-
Caroline Barkerding, FNP
-
Stacey Marie Barrois, DNP, APRN, AGACNP-BC
-
Kenberly Kay Baughman, MSN, APRN, FNP-C
-
Ricardo E. Blanco, M.D.
-
Joseph R. Bobrowski, M.D.
-
Robert Brinkman II, M.D.
-
Daniel M Burgin, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| North Shore Rehabilitation Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (30%) | Sep 6, 2019 |
| St Tammany Hospital Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 24, 1984 Oct 24, 1984 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231121000179 | LA | Part B Supplier - Pharmacy | 0749273761 | Practice locations: Covington, LA |
National Provider Directory
- Tax ID family
- Joan D Curtis MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY.007668-IR | LA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176886 | Other | PK | |
| 2206214 | Medicaid | LA |
Other names
- St. Tammany Health System Pharmacy at Braswell's
- M & W Covington
- BRASWELL DRUGS
Other providers in Covington, LA
- Angelia Renae Spurgin
- Srinivas S Ganji M.D. a Prof Medical Corp
- St Tammany Emergency Physicians Group LLC
- St Tammany Heart & Vascular Institute
- St Tammany Parish Hospital Employee Pharmacy
- St Tammany Parish Hospital Service District No 1
- St Tammany Parish Hospital Service District No 1
- Jessica Lynn St. Germain
- St. Joseph Hospice and Palliative Care Northshore LLC
- Bretta St. Romain
All providers in Covington, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.