Organization Active NPI

St Bernard Drugs LLC

  • Long Term Care Pharmacy
  • New Orleans, LA
National Provider Identifier
1447265087
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
7589-IR Issued in LA
Legal business name
ST BERNARD DRUGS LLC
Practice address
10200 Chef Menteur Hwy
Ste C
New Orleans, LA 70127-4263
Phone
(504) 242-1100
Fax
(504) 242-0081
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Mai T VuNPI 1891078440
Title
Owner/Pharmacist
Phone
(504) 242-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 7589-IR LA Primary

Addresses

Primary practice location

10200 Chef Menteur Hwy
Ste C
New Orleans, LA 70127-4263

Mailing address

10200 Chef Menteur Hwy
Ste C
New Orleans, LA 70127-4263
Phone (504) 242-1100

Other identifiers 2

IdentifierTypeStateIssuer
1235652MedicaidLA
2028287OtherPK

Other names 1

  • ST BERNARD DRUGS INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210108000152 LA Part B Supplier - Pharmacy 7618380841 Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1447265087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 CHEF MENTEUR HWY",
            "address_2": "STE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701274263",
            "telephone_number": "504-242-1100",
            "fax_number": "504-242-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 CHEF MENTEUR HWY",
            "address_2": "STE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701274263",
            "telephone_number": "504-242-1100",
            "fax_number": "504-242-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BERNARD DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "504-242-1100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "7589-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235652",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028287",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST BERNARD DRUGS INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 7, 2021; 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.