Prairieville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY006653IR Issued in LA

Legal business name

PRAIRIEVILLE PHARMACY LLC

Practice address

16270 Airline Hwy
Ste a-100
Prairieville, LA 70769-4589

Phone

(225) 677-7979

Fax

(225) 677-7990

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Marc SchexnailderNPI 1699042242

Title

Pharmacy Manager

Phone

(225) 677-7979

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Prairieville Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Schexnailder, RPH

  • Pharmacist
  • Prairieville, LA
  • NPI 1699042242
  NPD Authorized official

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1063751964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16270 AIRLINE HWY",
            "address_2": "STE A-100",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694589",
            "telephone_number": "225-677-7979",
            "fax_number": "225-677-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16270 AIRLINE HWY",
            "address_2": "STE A-100",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694589",
            "telephone_number": "225-677-7979",
            "fax_number": "225-677-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIEVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "SCHEXNAILDER",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "225-677-7979"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY006653IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138799",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201981",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairieville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rene August Ponsaa III, ATC, LAT
• Jasmine Porter
• Prairieville Emergency Physicians, PLLC
• Prairieville General Hospital, LLC
• Prairieville General Hospital, LLC
• Premier Health & Wellness Group, LLC
• Premier South Rehabilitation Services, LLC
• Joseph Corbin Prestidge, PA-C
• Prestige Dentistry, LLC
• Hayden Scott Price

• Community/Retail Pharmacy in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.