Organization Active NPI

Racelands Express LLC

Doing business as Raceland's Pharmacy Express

  • Community/Retail Pharmacy
  • Raceland, LA
National Provider Identifier
1164704102
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.006419-IR Issued in LA
Legal business name
RACELANDS EXPRESS LLC
Doing business as
Raceland's Pharmacy Express
Practice address
4634 Highway 1 Ste B
Raceland, LA 70394-2623
Phone
(985) 537-3303
Fax
(985) 537-3393
NPI assigned
Sep 15, 2011
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Vincent BuiNPI 1194128140
Title
Pharmacist in Charge
Phone
(504) 296-7428

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 PHY.006419-IR LA Primary

Addresses

Primary practice location

4634 Highway 1 Ste B
Raceland, LA 70394-2623

Mailing address

6 Teal CT
Westwego, LA 70094-5070
Phone (504) 296-7428

Other identifiers 2

IdentifierTypeStateIssuer
2131897OtherPK
2200933MedicaidLA

Other names 1

  • Raceland's Pharmacy Express Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150615001996 LA Part B Supplier - Mass Immunization (Roster Biller Only) 4183935315 Practice locations: Raceland, LA
O20151109002434 LA DME Supplier - Pharmacy 4183935315 Practice locations: Raceland, LA

National Provider Directory

National Provider Directory
Tax ID family
Raceland's Pharmacy Express2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4634 Highway 1
#B
Raceland, LA 70394
Phone (985) 537-3303

Practitioners & affiliated clinicians

Practitioners 2

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": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1164704102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TEAL CT",
            "city": "WESTWEGO",
            "state": "LA",
            "postal_code": "700945070",
            "telephone_number": "504-296-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 HIGHWAY 1 STE B",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942623",
            "telephone_number": "985-537-3303",
            "fax_number": "985-537-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACELANDS EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "504-296-7428"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006419-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131897",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200933",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raceland's Pharmacy Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raceland, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.