Elba Medical Distributors Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2670IR Issued in LA

Legal business name

ELBA MEDICAL DISTRIBUTORS INC

Doing business as

Patio Drugs

Practice address

5208 Veterans Blvd
Metairie, LA 70006

Phone

(504) 889-7070

Fax

(504) 889-7060

NPI assigned

Nov 1, 2006

Last updated

Aug 12, 2022By 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

Mrs. Daisy G Dimaggio, RPH

Title

Vice President Director of Operatio

Phone

(504) 780-8455

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Patio Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1285711390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 VETERANS BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-889-7070",
            "fax_number": "504-889-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 VETERANS BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-889-7070",
            "fax_number": "504-889-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBA MEDICAL DISTRIBUTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "DIMAGGIO",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT DIRECTOR OF OPERATIO",
        "authorized_official_telephone_number": "504-780-8455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "2670IR",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "LA",
            "license": "2670IR",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "LA",
            "license": "2670IR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1260932",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "19-24681",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/PART B PTAN",
            "identifier": "5CY65",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patio Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thorkell Einarsson, MD
• John William Eiser, DO
• Clayton Clement Eiswirth, MD
• Brian Kenneth Eitelmann
• Elba Medical Dist Inc
• Terri Dawn Elder
• Isabella Elias
• Elite Behavioral Health Service, LLC
• Elite Medical Nola
• Elite Rehab Nola

• Community/Retail Pharmacy in Metairie, LA
• Providers in Metairie, 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 Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.