Alfonso Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ALFONSO PHARMACY LLC

Practice address

1203 Robert Blvd
Slidell, LA 70458-2015

Phone

(985) 445-1179

Fax

(985) 445-1279

NPI assigned

Mar 26, 2018

Last updated

Jun 21, 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

Bradley Alfonso, PHARM DNPI 1134505324

Title

Owner

Phone

(504) 905-5041

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Bradley Alfonso

  • Pharmacist
  • Slidell, LA
  • NPI 1134505324
  NPD Authorized official

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1306341110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582015",
            "telephone_number": "504-905-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582015",
            "telephone_number": "985-445-1179",
            "fax_number": "985-445-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFONSO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-905-5041",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205781",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleta N. de Clouet, M.D., LLC
• Talise N Alexie, AS
• Ashley M Alexis
• Brandy Marie Alexis, LCSW
• Lia Alexis, PHARMD
• Bradley Alfonso
• Christopher Michael Alfred, DO
• Ali Nolan, LLC
• Hiba Kamal Ali, DDS
• Arnisa Alijaj

• Community/Retail Pharmacy in Slidell, LA
• Providers in Slidell, 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 Jun 21, 2022; 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.