Organization Active NPI

Central Rexall Drugs, Inc

  • Pharmacist
  • Hammond, LA
National Provider Identifier
1164829891
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.011783 Issued in LA
Legal business name
CENTRAL REXALL DRUGS, INC
Practice address
125 E Thomas St
Hammond, LA 70401-3313
Phone
(985) 345-5120
Fax
(985) 345-5178
NPI assigned
Nov 24, 2014
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Jan Matherne Lantrip, PD
Title
Compounding Pharmacist
Phone
(985) 345-5120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.011783 LA Primary

Addresses

Primary practice location

125 E Thomas St
Hammond, LA 70401-3313

Mailing address

125 E Thomas St
Hammond, LA 70401-3313
Phone (985) 345-5120

Other identifiers 3

IdentifierTypeStateIssuer
1639165491OtherLANPI
1207900OtherLAMEDICAID
1905732OtherLANABP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1164829891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013313",
            "telephone_number": "985-345-5120",
            "fax_number": "985-345-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013313",
            "telephone_number": "985-345-5120",
            "fax_number": "985-345-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL REXALL DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LANTRIP",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "MATHERNE",
        "authorized_official_title_or_position": "COMPOUNDING PHARMACIST",
        "authorized_official_telephone_number": "985-345-5120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.011783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639165491",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1207900",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1905732",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.