Organization Active NPI

B S Pharmacy LLC

  • Assisted Living Facility (Mental Illness)
  • Slidell, LA
National Provider Identifier
1265983126
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
7159 Issued in LA
Legal business name
B S PHARMACY LLC
Doing business as
medicine shoppe of slidell
Practice address
999 Robert Blvd
Slidell, LA 70458-2009
Phone
(985) 643-7894
Fax
(985) 649-2183
NPI assigned
Oct 17, 2016
Organization subpart
Yes
Parent organization
B S PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Mr. William P Gomila, PHARMACIST
Title
Owner/Pharmacist
Phone
(985) 643-7894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 7159 LA Primary

Addresses

Primary practice location

999 Robert Blvd
Slidell, LA 70458-2009

Mailing address

999 Robert Blvd
Slidell, LA 70458-2009
Phone (985) 643-7894

Other names 1

  • medicine shoppe of slidell Doing business as

National Provider Directory

National Provider Directory
Tax ID family
B S Pharmacy LLC2 organizations share this tax ID, including this one
Part of
B S Pharmacy LLC

Other organizations with this tax ID 1

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

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1265983126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582009",
            "telephone_number": "985-643-7894",
            "fax_number": "985-649-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582009",
            "telephone_number": "985-643-7894",
            "fax_number": "985-649-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B S PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "B S PHARMACY LLC",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "GOMILA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "985-643-7894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "LA",
            "license": "7159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medicine shoppe of slidell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.