Osborn Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.005001-IR Issued in LA

Legal business name

OSBORN ENTERPRISES LLC

Practice address

210 Avenue G
Kentwood, LA 70444-2804

Phone

(985) 229-2501

Fax

(985) 229-7561

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

David Osborn, RPHNPI 1932839784

Title

Owner

Phone

(985) 229-2501

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SCHILLING PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• David Osborn

  • Pharmacist
  • Kentwood, LA
  • NPI 1932839784
  NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1154495679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 AVENUE G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442804",
            "telephone_number": "985-229-2501",
            "fax_number": "985-229-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 AVENUE G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442804",
            "telephone_number": "985-229-2501",
            "fax_number": "985-229-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-229-2501",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.005001-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269794",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHILLING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal R Miller, LCSW
• Shelby Miller II
• MJ Smith Entity LLC
• Kerneisha Murphy, DNP, APRN, FNP-BC
• Sarah Notariano
• David Osborn
• Nikita Pearl
• Janet S. Pike
• Tonya Lewis Randolph, M. ED, LPC
• Daniel M Scardulla, PHD

• Community/Retail Pharmacy in Kentwood, LA
• Providers in Kentwood, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.