NPIMap

Organization Active NPI

Nola Discount Pharmacy of Destrehan, LLC

  • Community/Retail Pharmacy
  • Destrehan, LA
National Provider Identifier
1154887891
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NOLA DISCOUNT PHARMACY OF DESTREHAN, LLC
Practice address
3001 Ormond Blvd Ste C
Destrehan, LA 70047-2545
Phone
(985) 307-0800
Fax
(985) 307-0808
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Mrs. Victoria Love Cerniglia, CPHTNPI 1043077977
Title
Manager
Phone
(504) 835-6060

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

3001 Ormond Blvd Ste C
Destrehan, LA 70047-2545

Mailing address

3001 Ormond Blvd Ste C
Destrehan, LA 70047-2545
Phone (985) 307-0800

Other names 1

  • NOLA DISCOUNT PHARMACY OF DESTREHAN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210401000203 LA Part B Supplier - Pharmacy 4688081094 Practice locations: Destrehan, LA
O20210720000972 LA Part B Supplier - Independent Clinical Laboratory 4688081094 Practice locations: Destrehan, LA

National Provider Directory

National Provider Directory

Locations

3001 Ormond Blvd
Ste C
Destrehan, LA 70047
Phone (504) 835-6060

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1154887891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 ORMOND BLVD STE C",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472545",
            "telephone_number": "985-307-0800",
            "fax_number": "985-307-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ORMOND BLVD STE C",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472545",
            "telephone_number": "985-307-0800",
            "fax_number": "985-307-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA DISCOUNT PHARMACY OF DESTREHAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "CERNIGLIA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-835-6060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOLA DISCOUNT PHARMACY OF DESTREHAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOLA DISCOUNT PHARMACY OF DESTREHAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Destrehan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.