NPIMap

Organization Active NPI

Jennings American Legion Hospital Inc

  • Clinic Pharmacy
  • Jennings, LA
National Provider Identifier
1053665570
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHY.006628-IR Issued in LA
Legal business name
JENNINGS AMERICAN LEGION HOSPITAL INC
Practice address
1634 Elton Rd
Jennings, LA 70546-3614
Phone
(337) 616-7371
Fax
(337) 616-7372
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Brian Trahan
Title
Pic
Phone
(337) 616-7371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHY.006628-IR LA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1634 Elton Rd
Jennings, LA 70546-3614

Mailing address

1634 Elton Rd
Jennings, LA 70546-3614
Phone (337) 616-7371

Other identifiers 2

IdentifierTypeStateIssuer
2137849OtherPK
2201832MedicaidLA

Other names 1

  • JALH Outpatient Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jennings American Legion Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/jenning-3292f038

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1053665570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 ELTON RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463614",
            "telephone_number": "337-616-7371",
            "fax_number": "337-616-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 ELTON RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463614",
            "telephone_number": "337-616-7371",
            "fax_number": "337-616-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS AMERICAN LEGION HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "337-616-7371"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "LA",
            "license": "PHY.006628-IR",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137849",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201832",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JALH Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.