NPIMap

Organization Active NPI

Louvella H Granger

  • Community/Retail Pharmacy
  • Lafayette, LA
National Provider Identifier
1194881466
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.005007-IR Issued in LA
Legal business name
LOUVELLA H GRANGER
Practice address
3810 Ambassador Caffery Pkwy Ste 200
Lafayette, LA 70503-5259
Phone
(337) 981-8844
Fax
(337) 981-8884
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Darrell Granger, RPHNPI 1548144165
Title
Owner Phcst
Phone
(337) 981-8844

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.005007-IR LA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3810 Ambassador Caffery Pkwy Ste 200
Lafayette, LA 70503-5259

Mailing address

3810 Ambassador Caffery Pkwy
Ste 200
Lafayette, LA 70503-5259
Phone (337) 981-8844

Other identifiers 1

IdentifierTypeStateIssuer
2035103OtherPK

Other names 1

  • THE COMPOUNDING CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3810 Ambassador Caffery Pkwy
Ste 200
Lafayette, LA 70503
Phone (337) 981-8844

Practitioners & affiliated clinicians

Practitioners 1

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1194881466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035259",
            "telephone_number": "337-981-8844",
            "fax_number": "337-981-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 AMBASSADOR CAFFERY PKWY STE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035259",
            "telephone_number": "337-981-8844",
            "fax_number": "337-981-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUVELLA H GRANGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "337-981-8844",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.005007-IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035103",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE COMPOUNDING CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.