Landrys Pharmacy of Maurice Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY004828IR Issued in LA

Legal business name

LANDRYS PHARMACY OF MAURICE INC

Doing business as

Landrys Pharmacy

Practice address

106 Milton Rd
Maurice, LA 70555

Phone

(337) 898-1015

Fax

(337) 898-1023

NPI assigned

Aug 20, 2006

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jody Landry

Title

President

Phone

(337) 898-1015

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LANDRYS PHARMACY Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1093820029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "MAURICE",
            "state": "LA",
            "postal_code": "705550580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILTON RD",
            "city": "MAURICE",
            "state": "LA",
            "postal_code": "70555",
            "telephone_number": "337-898-1015",
            "fax_number": "337-898-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRYS PHARMACY OF MAURICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-898-1015"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY004828IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032993",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269239",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANDRYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Jones, RMA, RPT
• Sharnell Renee Kately Bennett
• Lindsey Lobell Kelehan, APRN-CNP
• Kerry M Schexnaider Internal Medicine Group LLC
• Kevin Paul Landry, CST/CSFA
• Kylie Langlinais, M.S., CCC-SLP
• Marlayna Hebert Leblanc
• Melissa Leblanc
• Shilpa Listi, DDS
• Little Flower Pediatric Dentistry, LLC

• Community/Retail Pharmacy in Maurice, LA
• Providers in Maurice, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.