Organization Active NPI

Ideal Pharmacy Care Inc

  • Community/Retail Pharmacy
  • New Orleans, LA
National Provider Identifier
1417010042
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6007IR Issued in LA
Legal business name
IDEAL PHARMACY CARE INC
Practice address
1400 Esplanade Ave
New Orleans, LA 70116-1803
Phone
(504) 523-4103
Fax
(504) 523-5910
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Conrad Charles
Title
Manager
Phone
(504) 523-4103

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 6007IR LA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1400 Esplanade Ave
New Orleans, LA 70116-1803

Mailing address

1400 Esplanade Ave
New Orleans, LA 70116-1803

Other identifiers 1

IdentifierTypeStateIssuer
1908788OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ESPLANADE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1400 Esplanade Ave
New Orleans, LA 70116
Phone (504) 523-4103

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1417010042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ESPLANADE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701161803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ESPLANADE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701161803",
            "telephone_number": "504-523-4103",
            "fax_number": "504-523-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PHARMACY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-523-4103"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "6007IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1908788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESPLANADE 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 Nov 21, 2008; 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.