Organization Active NPI

Expressway Pharmacy

  • Community/Retail Pharmacy
  • Gretna, LA
National Provider Identifier
1306223342
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.007128-IR Issued in LA
Legal business name
EXPRESSWAY PHARMACY
Doing business as
Expressway Pharmacy
Practice address
315 Westbank Expy
Gretna, LA 70053-5616
Phone
(504) 302-0987
Fax
(504) 302-0066
NPI assigned
Apr 28, 2015
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Johnny Luu
Title
Manager/Owner
Phone
(504) 939-1176

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.007128-IR LA Primary

Addresses

Primary practice location

315 Westbank Expy
Gretna, LA 70053-5616

Mailing address

315 Westbank Expy
Gretna, LA 70053-5616
Phone (504) 302-0987

Other identifiers 2

IdentifierTypeStateIssuer
2203738MedicaidLA
2151695OtherPK

Other names 1

  • Expressway Pharmacy Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1306223342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535616",
            "telephone_number": "504-302-0987",
            "fax_number": "504-302-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535616",
            "telephone_number": "504-302-0987",
            "fax_number": "504-302-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSWAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "504-939-1176"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007128-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203738",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expressway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.