Organization Active NPI

Brothers Pharmacy LLC

  • Specialty Pharmacy
  • Lake Charles, LA
National Provider Identifier
1366138943
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
BROTHERS PHARMACY LLC
Practice address
6200 Leslie LN
Lake Charles, LA 70615-4772
Phone
(877) 264-8060
NPI assigned
Apr 17, 2023
Last updated
Apr 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Jennifer Arnold
Title
Vice President of Reimbursement
Phone
(951) 809-4011

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

6200 Leslie LN
Lake Charles, LA 70615-4772

Mailing address

11705 Slate Ave Ste 200
Riverside, CA 92505-5199
Phone (951) 809-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230801001173 LA DME Supplier - Pharmacy 9739545484 Practice locations: Lake Charles, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brothers Pharmacy6200 Leslie LN, Lake Charles, LA 70615-4772(337) 602-9650 Infusion Drugs Accepts assignmentParticipating since May 3, 2023

National Provider Directory

National Provider Directory

Locations

6200 Leslie Ln
Lake Charles, LA 70615
Phone (337) 602-9650

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1366138943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 SLATE AVE STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925055199",
            "telephone_number": "951-809-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LESLIE LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154772",
            "telephone_number": "877-264-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VICE PRESIDENT OF REIMBURSEMENT",
        "authorized_official_telephone_number": "951-809-4011"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.