Organization Active NPI

National Pharmacy Acquisition LLC

Doing business as Advantage RX

  • Long Term Care Pharmacy
  • Metairie, LA
National Provider Identifier
1063808624
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY.007092-IR Issued in LA
Legal business name
NATIONAL PHARMACY ACQUISITION LLC
Doing business as
Advantage RX
Practice address
3202 W Metairie Ave S
Metairie, LA 70001-5235
Phone
(504) 832-0614
Fax
(504) 836-0056
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Sharon Lebouef
Title
Managing Member
Phone
(225) 766-7828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PHY.007092-IR LA Primary

Addresses

Primary practice location

3202 W Metairie Ave S
Metairie, LA 70001-5235

Mailing address

5344 Brittany Dr
Baton Rouge, LA 70808-4344
Phone (225) 766-7828

Other identifiers 2

IdentifierTypeStateIssuer
2151326OtherPK
2203649MedicaidLA

Other names 1

  • ADVANTAGE RX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advantage RX4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5344 Brittany Dr
Baton Rouge, LA 70808
Phone (225) 766-7828

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1063808624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 BRITTANY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084344",
            "telephone_number": "225-766-7828",
            "fax_number": "225-612-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 W METAIRIE AVE S",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015235",
            "telephone_number": "504-832-0614",
            "fax_number": "504-836-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PHARMACY ACQUISITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "LEBOUEF",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-766-7828"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "PHY.007092-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151326",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203649",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANTAGE RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.