Organization Active NPI

Affordable Pharmacy LLC

Doing business as affordable pharmacy

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1063789253
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY006423IR Issued in LA
Legal business name
AFFORDABLE PHARMACY LLC
Doing business as
affordable pharmacy
Practice address
1718 N Foster Dr Ste B
Baton Rouge, LA 70806-1076
Phone
(225) 771-8134
Fax
(225) 771-8197
NPI assigned
Nov 16, 2011
Last updated
Jul 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Duston StaciaNPI 1194095695
Title
Pharmacist in Charge
Phone
(225) 284-2825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY006423IR LA Primary

Addresses

Primary practice location

1718 N Foster Dr Ste B
Baton Rouge, LA 70806-1076

Mailing address

1718 N Foster Dr Ste B
Baton Rouge, LA 70806-1076
Phone (225) 771-8134

Other identifiers 2

IdentifierTypeStateIssuer
1935949OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2201077MedicaidLA

Other names 1

  • affordable pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1063789253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 N FOSTER DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061076",
            "telephone_number": "225-771-8134",
            "fax_number": "225-771-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 N FOSTER DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061076",
            "telephone_number": "225-771-8134",
            "fax_number": "225-771-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "STACIA",
        "authorized_official_first_name": "DUSTON",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "225-284-2825"
    },
    "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": "PHY006423IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1935949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201077",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "affordable pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.