Wolfes Pharmacy Inc

Key facts

NPI

1124125968

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

PHY.001217-IR (LA)

Legal business name

WOLFES PHARMACY INC

Practice address

5458 Highway 56
Chauvin, LA 70344-3102

Phone

(985) 594-5821

Fax

(985) 594-3280

NPI assigned

Sep 20, 2006

Organization subpart

No

Authorized official

Name

Peter Wolfe

Title

Owner

Phone

(985) 594-5821

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• WOLFES PHARMACY INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2016.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1124125968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "CHAUVIN",
            "state": "LA",
            "postal_code": "703440597",
            "telephone_number": "985-594-5821",
            "fax_number": "985-594-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 HIGHWAY 56",
            "city": "CHAUVIN",
            "state": "LA",
            "postal_code": "703443102",
            "telephone_number": "985-594-5821",
            "fax_number": "985-594-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-594-5821"
    },
    "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": "PHY.001217-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1243591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOLFES PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Chauvin, LA · Community/Retail Pharmacy in Louisiana