NPIMap

Organization Active NPI

Lee Road Family Pharmacy Inc.

  • Community/Retail Pharmacy
  • Covington, LA
National Provider Identifier
1275918922
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEE ROAD FAMILY PHARMACY INC.
Practice address
19705 Highway 40
Covington, LA 70435-9316
Phone
(504) 382-8461
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Mr. Earl Glen Williams Jr., PHARM DNPI 1477876431
Title
President
Phone
(504) 382-8461

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X LA Primary

Addresses

Primary practice location

19705 Highway 40
Covington, LA 70435-9316

Mailing address

19705 Highway 40
Covington, LA 70435-9316
Phone (504) 382-8461

National Provider Directory

National Provider Directory

Locations

19705 Highway 40
Covington, LA 70435
Phone (504) 382-8461

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": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1275918922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19705 HIGHWAY 40",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704359316",
            "telephone_number": "504-382-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19705 HIGHWAY 40",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704359316",
            "telephone_number": "504-382-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ROAD FAMILY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-382-8461",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.