Organization Active NPI

Pegasus Biologics LLC

  • Community/Retail Pharmacy
  • New Orleans, LA
National Provider Identifier
1356757256
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.006999-IR Issued in LA
Legal business name
PEGASUS BIOLOGICS LLC
Practice address
5700 Citrus Blvd Ste D
New Orleans, LA 70123-8501
Phone
(504) 281-4408
Fax
(504) 301-1692
NPI assigned
Jul 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Jamie Testa
Title
Pic
Phone
(504) 281-4408

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.006999-IR LA Primary

Addresses

Primary practice location

5700 Citrus Blvd Ste D
New Orleans, LA 70123-8501

Mailing address

5700 Citrus Blvd Ste D
New Orleans, LA 70123-8501
Phone (504) 281-4408

Other identifiers 2

IdentifierTypeStateIssuer
2149211OtherPK
2203258MedicaidLA

Other names 1

  • Pegasus Biologics Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pegasus Biologics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1356757256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 CITRUS BLVD STE D",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701238501",
            "telephone_number": "504-281-4408",
            "fax_number": "504-301-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 CITRUS BLVD STE D",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701238501",
            "telephone_number": "504-281-4408",
            "fax_number": "504-301-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS BIOLOGICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "TESTA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "504-281-4408"
    },
    "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.006999-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149211",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203258",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pegasus Biologics Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.