Organization Active NPI

USA Pharmacy & Medical Supplies

  • Community/Retail Pharmacy
  • Reserve, LA
National Provider Identifier
1174918783
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
046147 Issued in LA
Legal business name
USA PHARMACY & MEDICAL SUPPLIES
Doing business as
USA Pharmacy & Medical Supplies
Practice address
1170 Highway 44
Reserve, LA 70084-5343
Phone
(985) 536-0011
Fax
(985) 536-0012
NPI assigned
Mar 31, 2015
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Mr. Mohamad Esmail
Title
Owner
Phone
(985) 536-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 046147 LA Primary

Addresses

Primary practice location

1170 Highway 44
Reserve, LA 70084-5343

Mailing address

1170 Highway 44
Reserve, LA 70084-5343
Phone (985) 536-0011

Other identifiers 1

IdentifierTypeStateIssuer
007096IRMedicaidLA

Other names 1

  • USA Pharmacy & Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

1170 Highway 44
Reserve, LA 70084
Phone (985) 536-0011

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1174918783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 HIGHWAY 44",
            "city": "RESERVE",
            "state": "LA",
            "postal_code": "700845343",
            "telephone_number": "985-536-0011",
            "fax_number": "985-536-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 HIGHWAY 44",
            "city": "RESERVE",
            "state": "LA",
            "postal_code": "700845343",
            "telephone_number": "985-536-0011",
            "fax_number": "985-536-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA PHARMACY & MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "ESMAIL",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-536-0011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "046147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007096IR",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Pharmacy & Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reserve, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.