Organization Active NPI

Drive-in Drug Store LLC

  • Community/Retail Pharmacy
  • Amite, LA
National Provider Identifier
1144357393
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DRIVE-IN DRUG STORE LLC
Practice address
228 S 1St St
Amite, LA 70422-2704
Phone
(985) 748-8307
Fax
(985) 748-3089
NPI assigned
Feb 27, 2007
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Mr. Gerald Anthony GiardinaNPI 1861962797
Title
Owner-Pharmacist
Phone
(985) 748-8307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

228 S 1St St
Amite, LA 70422-2704

Mailing address

228 S 1St St
Amite, LA 70422-2704
Phone (985) 748-8307

Other identifiers 1

IdentifierTypeStateIssuer
1260649MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110525000776 LA DME Supplier - Pharmacy 8820274996 Practice locations: Amite, LA

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
19D2190991Drive-in Drug Store228 South First St, Amite, LA 70422Certificate of waiverAug 20, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Drive-in Drug Store228 S 1St St, Amite, LA 70422-2704(985) 748-8307 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 23, 2011

National Provider Directory

National Provider Directory

Locations

228 S 1st St
Amite, LA 70422
Phone (985) 748-6136

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1144357393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S 1ST ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222704",
            "telephone_number": "985-748-8307",
            "fax_number": "985-748-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S 1ST ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222704",
            "telephone_number": "985-748-8307",
            "fax_number": "985-748-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVE-IN DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER-PHARMACIST",
        "authorized_official_telephone_number": "985-748-8307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1260649",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.