Active NPI
Baham Pharmacy & Wellness LLC
- Community/Retail Pharmacy
- Mandeville, LA
National Provider Identifier
1093293532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BAHAM PHARMACY & WELLNESS LLC
- Practice address
- 3916 Highway 22
Mandeville, LA 70471-7306 - Phone
- (985) 273-5099
- Fax
- (985) 206-9766
- NPI assigned
- Aug 6, 2018
- Last updated
- Sep 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Baham
- Title
- Owner/ Pharmacist
- Phone
- (985) 273-5099
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3916 Highway 22
Mandeville, LA 70471-7306
Mailing address
28215 Big Sky LN
Folsom, LA 70437-7689
Phone (504) 237-7432
Other names 1
- Baham Pharmacy and Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181018000117 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7517219678 | Practice locations: Mandeville, LA |
National Provider Directory
National Provider Directory- Tax ID family
- Baham Pharmacy and Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Mandeville, LA
- NPI 1326727140
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.
-
- Pharmacist
- Mandeville, LA
- NPI 1295146751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536883200000",
"number": "1093293532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28215 BIG SKY LN",
"city": "FOLSOM",
"state": "LA",
"postal_code": "704377689",
"telephone_number": "504-237-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3916 HIGHWAY 22",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704717306",
"telephone_number": "985-273-5099",
"fax_number": "985-206-9766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAHAM PHARMACY & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-06",
"last_updated": "2018-09-14",
"status": "A",
"authorized_official_last_name": "BAHAM",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OWNER/ PHARMACIST",
"authorized_official_telephone_number": "985-273-5099"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baham Pharmacy and Wellness",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.