NPIMap

Organization Active NPI

NDD LLC

Doing business as North Desoto Drug

  • Community/Retail Pharmacy
  • Stonewall, LA
National Provider Identifier
1255732012
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.006948-IR Issued in LA
Legal business name
NDD LLC
Doing business as
North Desoto Drug
Practice address
316 Plantation Hills Blvd Ste a
Stonewall, LA 71078-2838
Phone
(318) 775-4371
Fax
(318) 775-4369
NPI assigned
Sep 11, 2014
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Amanda DominguezNPI 1023419785
Title
Owner
Phone
(318) 775-4371

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
Community/Retail Pharmacy 3336C0003X PHY.006948-IR LA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

316 Plantation Hills Blvd Ste a
Stonewall, LA 71078-2838

Mailing address

316 Plantation Hills Blvd Ste a
Stonewall, LA 71078-2838
Phone (318) 775-4371

Other names 1

  • North Desoto Drug Doing business as

National Provider Directory

National Provider Directory

Locations

316 Plantation Hills Blvd
#A
Stonewall, LA 71078
Phone (318) 775-4371

4974 Highway 3276
Ste B
Stonewall, LA 71078
Phone (318) 681-4344

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1255732012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 PLANTATION HILLS BLVD STE A",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710782838",
            "telephone_number": "318-775-4371",
            "fax_number": "318-775-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 PLANTATION HILLS BLVD STE A",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710782838",
            "telephone_number": "318-775-4371",
            "fax_number": "318-775-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-775-4371"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006948-IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Desoto Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Desoto Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stonewall, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.