Active NPI
Vincent Richard Polizzi II, RPH
- Pharmacist
- Metairie, LA
National Provider Identifier
1164731089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16925
- Practice address
- 909 David Dr
Metairie, LA 70003-5134 - Phone
- (504) 818-1170
- NPI assigned
- Sep 27, 2010
- Last updated
- Sep 27, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16925 | LA | Primary |
Addresses
Primary practice location
909 David Dr
Metairie, LA 70003-5134
Mailing address
4912 Mayeaux St
Metairie, LA 70006-1129
Phone (504) 309-6482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16925 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Vibe Ventures LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1164731089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4912 MAYEAUX ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700061129",
"telephone_number": "504-309-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 DAVID DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700035134",
"telephone_number": "504-818-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLIZZI",
"first_name": "VINCENT",
"middle_name": "RICHARD",
"name_suffix": "II",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-27",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.