Active NPI
St Margarets Pharmacy Services
- Long Term Care Pharmacy
- Marrero, LA
National Provider Identifier
1114086212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 5480
- 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, 2011
- 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
- David Banks
- Title
- VP
- Phone
- (504) 349-9411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1274071 | Medicaid | LA | |
| 1932133 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- ST MARGARETS PHARMACY SERVICES
National Provider Directory
National Provider DirectoryLocations
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.