Organization Active NPI

Priority Health Care

  • Specialty Pharmacy
  • Marrero, LA
National Provider Identifier
1427419811
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PRIORITY HEALTH CARE
Practice address
4700 Wichers Dr
Suite 303
Marrero, LA 70072-3041
Phone
(504) 309-9135
Fax
(504) 341-4140
NPI assigned
Mar 11, 2016
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Mrs. Tamara Boutte Dioubate, MSW, MSHCM
Title
Ceo
Phone
(504) 309-6522

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Clinic Pharmacy 3336C0002X 7348 LA
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

4700 Wichers Dr
Suite 303
Marrero, LA 70072-3041

Mailing address

4700 Wichers Dr
Suite 306
Marrero, LA 70072-3041
Phone (504) 309-6522

Other names 1

  • Priority Health Care Pharmacy - Marrero Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170119001511 LA Part B Supplier - Pharmacy 5395972988 Practice locations: Gretna, LA; Marrero, LA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Priority Health Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1427419811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WICHERS DR",
            "address_2": "SUITE 306",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723041",
            "telephone_number": "504-309-6522",
            "fax_number": "504-309-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WICHERS DR",
            "address_2": "SUITE 303",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723041",
            "telephone_number": "504-309-9135",
            "fax_number": "504-341-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "DIOUBATE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "BOUTTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-309-6522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, MSHCM"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "LA",
            "license": "7348",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Health Care Pharmacy - Marrero",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.