Petes Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.006092-IR Issued in LA

Legal business name

PETES FAMILY PHARMACY LLC

Doing business as

Petes Pharmacy

Practice address

539 W Railroad Ave
Independence, LA 70443

Phone

(985) 878-6321

Fax

(985) 878-4613

NPI assigned

Oct 12, 2006

Last updated

May 1, 2017By 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

Michael Tinnerello, RPHNPI 1013287176

Title

Owner

Phone

(985) 320-5175

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PETES PHARMACY Doing business as

Practitioners 3

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.

• Michael Thomas Tinnerello Jr., P.D.

  • Pharmacist
  • Hammond, LA
  • NPI 1013287176
  Authorized official Same address or phone
• Anthony Spitale

  • Pharmacist
  • Kentwood, LA
  • NPI 1386915718
  NPD
• Peter J Armato, RPH

  • Pharmacist
  • Independence, LA
  • NPI 1487740213
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1285724336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012945",
            "telephone_number": "985-878-6321",
            "fax_number": "985-878-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W RAILROAD AVE",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "70443",
            "telephone_number": "985-878-6321",
            "fax_number": "985-878-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETES FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "TINNERELLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-320-5175",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006092-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234958",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028741",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Reynolds Overton, LPC
• Sherry Paretti, A.P.N
• Carissa Purvis Pearson
• Jonell Perkins
• Petes Family Pharmacy LLC
• PF Spam LLC (Pauls Pharmacy)
• Candace T Phillips, RD
• Primary Care Providers for a Healthy Feliciana Inc (Independence Leadership Academy)
• Primary Care Providers for a Healthy Feliciana Inc (Independence High School)
• Pulmonary Care Specialists Inc

• Community/Retail Pharmacy in Independence, LA
• Providers in Independence, 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 May 1, 2017; 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.