Active NPI
Hospital Service District #1 of Tangipahoa Parish
- Community/Retail Pharmacy
- Hammond, LA
National Provider Identifier
1194288068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA PARISH
- Practice address
- 15795 Paul Vega MD Drive
1St Floor
Hammond, LA 70403 - Phone
- (985) 230-7880
- Fax
- (985) 230-7881
- NPI assigned
- Apr 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark T Anderson
- Title
- C.F.O
- Phone
- (985) 230-6602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
15795 Paul Vega MD Drive
1St Floor
Hammond, LA 70403
Mailing address
15795 Paul Vega MD Driv
Hammond, LA 70403-1426
Phone (985) 230-7880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2207164 | Medicaid | LA |
Other names 1
- North Oaks Pharmacy- Clinic Building
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2323444 | North Oaks Clinic Building | Certificate of waiver | May 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- A Gayden Robert MD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Acute Care Hospital
- Livingston, LA
- NPI 1346554219
-
- Community/Retail Pharmacy
- Hammond, LA
- NPI 1386049518
Locations
15813 Paul Vega Md Dr
Bldg Retail
Hammond, LA 70403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756857600000",
"number": "1194288068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15795 PAUL VEGA MD DRIV",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031426",
"telephone_number": "985-230-7880",
"fax_number": "985-230-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15795 PAUL VEGA MD DRIVE",
"address_2": "1ST FLOOR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "985-230-7880",
"fax_number": "985-230-7881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA PARISH",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-09",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "C.F.O",
"authorized_official_telephone_number": "985-230-6602"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2207164",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Oaks Pharmacy- Clinic Building",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Oaks Pharmacy- Clinic Building",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hammond, LA
- Jennifer Horsley
- Elesha Jean Horton, MSED
- Hospital Service District #1 of Tangipahoa
- Hospital Service District #1 of Tangipahoa
- Hospital Service District #1 of Tangipahoa Parish
- Hospital Service District No. 1
- Hospital Service District No. 1 of Tangipahoa Parish
- Ashley Hotard, PA-C
- Stephanie Gay Houeye
- Dawn Cristina Houston, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.