NPIMap

Organization Active NPI

Stanocola Employees Medical & Hospital Association, Inc

  • Clinic Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1073733325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
C001065-1R Issued in LA
Legal business name
STANOCOLA EMPLOYEES MEDICAL & HOSPITAL ASSOCIATION, INC
Doing business as
Stanocola Pharmacy
Practice address
16777 Medical Center Dr
Suite 400
Baton Rouge, LA 70816-3254
Phone
(225) 926-7200
Fax
(225) 952-8502
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ledoux Chastant
Title
Chief Executive Officer
Phone
(225) 952-8730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X C001065-1R LA Primary

Addresses

Primary practice location

16777 Medical Center Dr
Suite 400
Baton Rouge, LA 70816-3254

Mailing address

16777 Medical Center Dr
Suite 400
Baton Rouge, LA 70816-3254
Phone (225) 926-7200

Other identifiers 2

IdentifierTypeStateIssuer
1267961MedicaidLA
C001065-1ROtherLASTATE LICENSE

Other names 1

  • Stanocola Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanocola Employees Medical Hospital Association Inc4 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.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073733325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16777 MEDICAL CENTER DR",
            "address_2": "SUITE 400",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163254",
            "telephone_number": "225-926-7200",
            "fax_number": "225-952-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16777 MEDICAL CENTER DR",
            "address_2": "SUITE 400",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163254",
            "telephone_number": "225-926-7200",
            "fax_number": "225-952-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANOCOLA EMPLOYEES MEDICAL & HOSPITAL ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHASTANT",
        "authorized_official_first_name": "LEDOUX",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-952-8730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "LA",
            "license": "C001065-1R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1267961",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C001065-1R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanocola 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 Aug 22, 2020; 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.