Active NPI
Pegasus Biologics LLC
- Community/Retail Pharmacy
- New Orleans, LA
National Provider Identifier
1356757256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY.006999-IR
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149211 | Other | PK | |
| 2203258 | Medicaid | LA |
Other names 1
- Pegasus Biologics Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Pegasus Biologics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Harahan, LA
- NPI 1619375219
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New Orleans, LA
- NPI 1659412815
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.