Organization Active NPI

Viallon Drug Co., Inc.

  • Pharmacist
  • White Castle, LA
National Provider Identifier
1093727786
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7416 Issued in LA
Legal business name
VIALLON DRUG CO., INC.
Practice address
32555 Bowie St
White Castle, LA 70788-2503
Phone
(225) 545-2402
NPI assigned
Aug 12, 2006
Last updated
Feb 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Mr. Paul Louis Viallon V, RPH
Title
President
Phone
(225) 545-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7416 LA Primary

Addresses

Primary practice location

32555 Bowie St
White Castle, LA 70788-2503

Mailing address

32555 Bowie St
White Castle, LA 70788-2503
Phone (225) 545-2402

Other identifiers 1

IdentifierTypeStateIssuer
1254029MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161118000545 LA Part B Supplier - Mass Immunization (Roster Biller Only) 4284913062 Practice locations: White Castle, LA

National Provider Directory

National Provider Directory

Locations

32555 Bowie St
White Castle, LA 70788
Phone (225) 545-2402

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1093727786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32555 BOWIE ST",
            "city": "WHITE CASTLE",
            "state": "LA",
            "postal_code": "707882503",
            "telephone_number": "225-545-2402",
            "fax_number": "225-545-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32555 BOWIE ST",
            "city": "WHITE CASTLE",
            "state": "LA",
            "postal_code": "707882503",
            "telephone_number": "225-545-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIALLON DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "VIALLON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-545-2402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "V",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "7416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254029",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Castle, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.

Verify at the official NPI Registry.