Active NPI
Louisiana CVS Pharmacy, L.L.C.
Doing business as CVS Pharmacy # 266
- Pharmacy
- Lake Charles, LA
National Provider Identifier
1447343157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 5701
- Legal business name
- LOUISIANA CVS PHARMACY, L.L.C.
- Doing business as
- CVS Pharmacy # 266
- Practice address
- 2000 Ryan St
Lake Charles, LA 70601 - Phone
- (337) 439-4241
- NPI assigned
- Oct 2, 2006
- Last updated
- Sep 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 765-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5701 | LA | Primary |
Addresses
Primary practice location
2000 Ryan St
Lake Charles, LA 70601
Mailing address
One CVS Drive
Box 1075 - Pharmacy Enrollments
Woonsocket, RI 02895
Phone (401) 765-1500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5766170001 | Other | LA | MEDICARE B |
| 1222101 | Medicaid | LA | |
| 1932979 | Other | LA | NCPDP |
| 691015 | Medicaid | TX |
Other names 1
- CVS Pharmacy # 266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930098106 | LA | DME Supplier - Pharmacy | 7113120312 | Practice locations: Lake Charles, LA |
| O20101022000661 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113120312 |
This NPI is an additional NPI on the enrollment Practice locations: Marksville, LA; Marrero, LA; Metairie, LA; Morgan City, LA; New Iberia, LA; Opelousas, LA; Plaquemine, LA; Ponchatoula, LA… |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #00266 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Louisiana CVS Pharmacy
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2000 Ryan St
Lake Charles, LA 70601
Phone (337) 309-4986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505260800000",
"number": "1447343157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE CVS DRIVE",
"address_2": "BOX 1075 - PHARMACY ENROLLMENTS",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "02895",
"telephone_number": "401-765-1500",
"fax_number": "401-770-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-439-4241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA CVS PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2017-09-13",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-765-1500"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "LA",
"license": "5701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "5766170001",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1222101",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1932979",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "691015",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy # 266",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake Charles, LA
- Jonathan Blaine Lopez
- Lindsay Lopez
- Louisiana Chiropractic and Wellness
- Louisiana CVS Pharmacy LLC (CVS Pharmacy #16738)
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy # 5455)
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy # 1099)
- Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de (Calcasieu Dental Care)
- Louisiana Em-I Medical Services, a Medical Corporation
- Louisiana Foot and Ankle Specialists LLC
- Louisiana Oral & Implant Surgery (Louisiana Oral and Implant Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.