Active NPI
Expressway Pharmacy
- Community/Retail Pharmacy
- Gretna, LA
National Provider Identifier
1306223342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY.007128-IR
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2203738 | Medicaid | LA | |
| 2151695 | Other | PK |
Other names 1
- Expressway Pharmacy
National Provider Directory
National Provider DirectoryOwnership & 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.
-
dba Expressway Pharmacy LTC
- Long Term Care Pharmacy
- Gretna, LA
- NPI 1366122608
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
- Exceeds Their Needs, Inc.
- Exceeds Their Needs, Inc.
- Exceeds Their Needs, Inc.
- Excellent Home Health Care, LLC
- Excellent Medical Supply and Equipment
- Expressway Pharmacy, LLC (Expressway Pharmacy LTC)
- Expressway Urgent Care, LLC (Expressway Urgent Care)
- Extensions of Life LLC
- Jena Faciane
- Karen Fahaim, LMFT, LPC
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.