Parkway Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PARKWAY PHARMACY LLC

Practice address

10374 Highway 165 N Ste C
Sterlington, LA 71280-3369

Phone

(318) 812-2305

Fax

(318) 665-0092

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Lateef Odeyemi, OWNERNPI 1720506983

Title

Pharmacist

Phone

(318) 388-4349

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lateef Odeyemi, PHARMD

  • Pharmacist
  • Sterlington, LA
  • NPI 1720506983
  NPD Authorized official

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1265080915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10374 HIGHWAY 165 N STE C",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "712803369",
            "telephone_number": "318-243-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10374 HIGHWAY 165 N STE C",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "712803369",
            "telephone_number": "318-812-2305",
            "fax_number": "318-665-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "ODEYEMI",
        "authorized_official_first_name": "LATEEF",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "318-388-4349",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22072425",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shonda McClure, BACHELOR OF ARTS
• Lola McKeel
• Medic Pharmacy of Bastrop Inc
• Bridget M Mills, NP
• Lateef Odeyemi, PHARMD
• Parkway Pharmacy LLC
• Maria Pennywell
• Bianca A Peters, CIT
• Phenix RX LLC
• Geneiva Dianne Phillips, LMFT

• All providers in Sterlington, LA
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.