Active NPI
Innovative Express Pharmacy LLC
- Non-Pharmacy Dispensing Site
- Lafayette, LA
National Provider Identifier
1447789227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- INNOVATIVE EXPRESS PHARMACY LLC
- Practice address
- 99 W Martial Ave
Lafayette, LA 70508-6583 - Phone
- (337) 408-8003
- Fax
- (337) 267-3293
- NPI assigned
- Jun 6, 2017
- Last updated
- Jun 6, 2017
- Organization subpart
- Yes
- Parent organization
- INNOVATIVE EXPRESS PHARMACY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ilyas Munshi, MD
- Title
- Owner
- Phone
- (337) 234-5344
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | LA | Primary |
Addresses
Primary practice location
99 W Martial Ave
Lafayette, LA 70508-6583
Mailing address
PO Box 82510
Lafayette, LA 70598-2510
National Provider Directory
National Provider Directory- Part of
- Innovative Express Pharmacy LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Lafayette, LA
- NPI 1740397306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496707200000",
"number": "1447789227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82510",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705982510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 W MARTIAL AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086583",
"telephone_number": "337-408-8003",
"fax_number": "337-267-3293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE EXPRESS PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INNOVATIVE EXPRESS PHARMACY LLC",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-06",
"status": "A",
"authorized_official_last_name": "MUNSHI",
"authorized_official_first_name": "ILYAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-234-5344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.