Organization Active NPI

DMD Ventures

  • Community/Retail Pharmacy
  • Metairie, LA
National Provider Identifier
1194101204
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DMD VENTURES
Practice address
1107 Veterans Blvd
Ste 3
Metairie, LA 70005-2748
Phone
(504) 835-6060
Fax
(504) 835-0330
NPI assigned
Jul 31, 2015
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
Pharmacy 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1107 Veterans Blvd
Ste 3
Metairie, LA 70005-2748

Mailing address

1107 Veterans Memorial Blvd Ste 3
Metairie, LA 70005-2748
Phone (504) 835-6060

Other identifiers 3

IdentifierTypeStateIssuer
2204041MedicaidLA
1938743OtherLANABP
PHY.007194-IROtherLALABOP

Other names 1

  • NOLA Discount Pharmacy #2 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210819001640 LA Part B Supplier - Independent Clinical Laboratory 2163716499 Practice locations: Metairie, LA
O20230728000535 LA Part B Supplier - Pharmacy 2163716499 Practice locations: Metairie, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2220300DMD Ventures1107 Veterans Blvd, Metairie, LA 70005Certificate of waiverApr 11, 2027

National Provider Directory

National Provider Directory

Locations

1107 Vets Blvd
Ste 3
Metairie, LA 70005
Phone (504) 835-6060

1107 Veterans Memorial Blvd
Ste 3
Metairie, LA 70005
Phone (504) 835-6060

1107 Veterans Memorial Blvd
Metairie, LA 70005
Phone (504) 835-6060

4305 Clearview Pkwy
Ste B
Metairie, LA 70006
Phone (504) 888-9411

Practitioners & affiliated clinicians

Practitioners 2

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": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1194101204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 VETERANS MEMORIAL BLVD STE 3",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052748",
            "telephone_number": "504-835-6060",
            "fax_number": "504-835-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 VETERANS BLVD",
            "address_2": "STE 3",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052748",
            "telephone_number": "504-835-6060",
            "fax_number": "504-835-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMD VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "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": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "504-835-6060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204041",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1938743",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOP",
            "identifier": "PHY.007194-IR",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOLA Discount Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.