De Blanc Drug Store

Primary specialty

PharmacyTaxonomy code 333600000X

License

1618IR Issued in LA

Legal business name

DE BLANC DRUG STORE

Practice address

3111 Grand Rte St John St
New Orleans, LA 70119

Phone

(504) 949-8346

Fax

(504) 949-5146

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Robert L Cousins, RPH

Title

Owner

Phone

(504) 949-8346

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1306901434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 GRAND RTE ST JOHN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-949-8346",
            "fax_number": "504-949-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 GRAND RTE ST JOHN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-949-8346",
            "fax_number": "504-949-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE BLANC DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "COUSINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-949-8346",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "1618IR",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1212245",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1908702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Meghan Elizabeth De Baroncelli
• Suzanne De Boisblanc Tyler
• Frank De Jesus
• Paula Vanessa De la Cruz, M.D.
• Nicole De la Fuente, LCSW
• Shayla Marie De la Rose

• All providers in New Orleans, LA
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.