Organization Active NPI

Gretna Xpress Pharmacy

  • Long Term Care Pharmacy
  • Gretna, LA
National Provider Identifier
1104397900
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GRETNA XPRESS PHARMACY
Practice address
1620 Belle Chasse Highway
Suite a
Gretna, LA 70056-7057
Phone
(504) 368-5977
Fax
(504) 368-5978
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Mr. Eric Carter Sr., JD, MPA, BA
Title
Manager
Phone
(504) 284-9033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1620 Belle Chasse Highway
Suite a
Gretna, LA 70056-7057

Mailing address

1620 Belle Chasse Highway
Suite a
Gretna, LA 70056-7057
Phone (504) 368-5977

Other identifiers 1

IdentifierTypeStateIssuer
2207075MedicaidLA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2265772Gretna Xpress Pharmacy1620 Belle Chasse Highway, Suite a, Gretna, LA 70056Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1104397900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BELLE CHASSE HIGHWAY",
            "address_2": "SUITE A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567057",
            "telephone_number": "504-368-5977",
            "fax_number": "504-368-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BELLE CHASSE HIGHWAY",
            "address_2": "SUITE A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567057",
            "telephone_number": "504-368-5977",
            "fax_number": "504-368-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETNA XPRESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-284-9033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "JD, MPA, BA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207075",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.