NPIMap

Organization Active NPI

Ochsner Pharmacy and Wellness LLC

Doing business as Ochsner Pharmacy and Wellness - Kenner

  • Community/Retail Pharmacy
  • Kenner, LA
National Provider Identifier
1427409127
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY-007340-RC Issued in LA
Legal business name
OCHSNER PHARMACY AND WELLNESS LLC
Doing business as
Ochsner Pharmacy and Wellness - Kenner
Practice address
200 W Esplanade Ave Ste 106
Kenner, LA 70065-2473
Phone
(504) 464-8250
Fax
(504) 464-8251
NPI assigned
Jun 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Richard Rovira
Title
Director
Phone
(504) 842-8623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY-007340-RC LA Primary

Addresses

Primary practice location

200 W Esplanade Ave Ste 106
Kenner, LA 70065-2473

Mailing address

1405 Jefferson Hwy
Jefferson, LA 70121-2426
Phone (504) 464-8250

Other identifiers 1

IdentifierTypeStateIssuer
2162242OtherPK

Other names 1

  • Ochsner Pharmacy and Wellness - Kenner Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822000419 LA Part B Supplier - Pharmacy 8022331636 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Terrytown, LA; Baton Rouge, LA; Slidell, LA; Raceland, LA; New Orleans, LA; Metairie, LA; Covington, LA; Jefferson, LA…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1405 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-7439

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1427409127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 JEFFERSON HWY",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212426",
            "telephone_number": "504-464-8250",
            "fax_number": "504-464-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE STE 106",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652473",
            "telephone_number": "504-464-8250",
            "fax_number": "504-464-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER PHARMACY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "ROVIRA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-842-8623"
    },
    "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-007340-RC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner Pharmacy and Wellness - Kenner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.