Destrehan Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6844IR Issued in LA

Legal business name

DESTREHAN PHARMACY INC

Practice address

3001 Ormond Blvd
Ste. a-1
Destrehan, LA 70047-2544

Phone

(985) 764-1181

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Steven Paul Faucheaux

Title

Manager

Phone

(985) 764-1181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1154747525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 ORMOND BLVD",
            "address_2": "STE. A-1",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472544",
            "telephone_number": "985-764-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ORMOND BLVD",
            "address_2": "STE. A-1",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472544",
            "telephone_number": "985-764-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTREHAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "FAUCHEAUX",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-764-1181"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "6844IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby B Cupit, RD, LDN
• Cus Medical Transportation LLC (Cus Medical Transportation)
• Latysha Dees
• Alicia Clement Depaula, MD
• Destrehan Medical Clinic
• Shawn Dufrene, RDH
• Andrew Duplantis
• Deanna S Elsea, MD
• Maghan Eugene
• Kelsey Elizabeth Felton

• Community/Retail Pharmacy in Destrehan, LA
• Providers in Destrehan, 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 Mar 10, 2014; 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.