Organization Active NPI

Patriot RX

  • Specialty Pharmacy
  • Zachary, LA
National Provider Identifier
1073385506
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PATRIOT RX
Practice address
5500 Fire Station Rd Ste C&D
Zachary, LA 70791-7468
Phone
(225) 451-5807
NPI assigned
Oct 27, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Staci Leann Bryce, RPH
Title
Pharmacist in Charge
Phone
(225) 405-5418

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Home Infusion Therapy Pharmacy 3336H0001X NU
Mail Order Pharmacy 3336M0002X NU
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

5500 Fire Station Rd Ste C&D
Zachary, LA 70791-7468

Mailing address

5500 Fire Station Rd Ste C&D
Zachary, LA 70791-7468
Phone (225) 451-5807

National Provider Directory

National Provider Directory

Locations

5500 Fire Station Rd
Ste Cd
Zachary, LA 70791
Phone (225) 451-5807

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": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1073385506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 FIRE STATION RD STE C&D",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917468",
            "telephone_number": "225-451-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FIRE STATION RD STE C&D",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917468",
            "telephone_number": "225-451-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "BRYCE",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "225-405-5418",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.