PF Spam LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.005922-IR Issued in LA

Legal business name

PF SPAM LLC

Doing business as

Pauls Pharmacy Loranger

Practice address

54033 Highway 1062
Loranger, LA 70446-3538

Phone

(985) 878-6622

Fax

(985) 878-6619

NPI assigned

Jan 22, 2008

Last updated

Jan 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Trapen

Title

Manager

Phone

(985) 878-4401

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PAULS PHARMACY LORANGER Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• PF Spam LLC

  dba Pauls Pharmacy

  • Community/Retail Pharmacy
  • Independence, LA
  • NPI 1114000296

  O20200129001448

  Same enrollment
• PF Spam LLC

  dba Pauls Pharmacy Hammond

  • Community/Retail Pharmacy
  • Hammond, LA
  • NPI 1922279108

  O20200129001448

  Same enrollment

Tax ID family

Paul's Pharmacy 44 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Paul's Pharmacy #4

  dba Paul's Pharmacy Baton Rouge

  • Community/Retail Pharmacy
  • Baton Rouge, LA
  • NPI 1972873222
  NPD tax ID
• PF Spam LLC

  dba Pauls Pharmacy

  • Community/Retail Pharmacy
  • Independence, LA
  • NPI 1114000296
  NPD tax ID
• PF Spam LLC

  dba Pauls Pharmacy Hammond

  • Community/Retail Pharmacy
  • Hammond, LA
  • NPI 1922279108
  NPD tax ID

Locations

Practitioners 2

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.

• Leslie Cormier, PHARMACIST

  • Pharmacist
  • Independence, LA
  • NPI 1487260162
  NPD (past)
• Amanda Nethery Smith, PHARMD

  • Pharmacist
  • Loranger, LA
  • NPI 1740063296
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1194902122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704460860",
            "telephone_number": "985-878-6622",
            "fax_number": "985-878-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54033 HIGHWAY 1062",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704463538",
            "telephone_number": "985-878-6622",
            "fax_number": "985-878-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF SPAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "TRAPEN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-878-4401"
    },
    "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.005922-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1219827",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAULS PHARMACY LORANGER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAULS PHARMACY LORANGER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyman Allan Mizell, NBC-HWC
• Sherie Naquin, NP
• Normans Trucking LLC
• Jody Patrick Nunnery, CRNA
• Mary Margaret Pace, RN
• Primary Care Providers for a Healthy Feliciana Inc (Loranger Elementary)
• Primary Care Providers for a Healthy Feliciana Inc (Loranger Middle School)
• Primary Care Providers for a Healthy Feliciana, Inc (RKM at Loranger High School)
• Primary Care Providers for a Healthy Feliciana, Inc (RKM Loranger)
• Brittany Cotogno Rickerson, SLP-A

• Community/Retail Pharmacy in Loranger, LA
• Providers in Loranger, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.