Organization Active NPI

St Margarets Pharmacy Services

  • Long Term Care Pharmacy
  • Marrero, LA
National Provider Identifier
1114086212
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5480 Issued in LA
Legal business name
ST MARGARETS PHARMACY SERVICES
Doing business as
St Margarets Pharmacy Services
Practice address
4000 4TH St
Ste B
Marrero, LA 70072-2240
Phone
(504) 349-9411
Fax
(504) 349-9413
NPI assigned
Dec 6, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
David Banks
Title
VP
Phone
(504) 349-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 5480 LA Primary

Addresses

Primary practice location

4000 4TH St
Ste B
Marrero, LA 70072-2240

Mailing address

4000 4TH St
Ste B
Marrero, LA 70072-2240
Phone (504) 349-9411

Other identifiers 2

IdentifierTypeStateIssuer
1274071MedicaidLA
1932133OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ST MARGARETS PHARMACY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

4000 4th St
Ste B
Marrero, LA 70072
Phone (504) 349-9411

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1114086212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 4TH ST",
            "address_2": "STE B",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722240",
            "telephone_number": "504-349-9411",
            "fax_number": "504-349-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 4TH ST",
            "address_2": "STE B",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722240",
            "telephone_number": "504-349-9411",
            "fax_number": "504-349-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARGARETS PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "504-349-9411"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "5480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1274071",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1932133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST MARGARETS PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.