Landry's Pharmacy 1, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LANDRY'S PHARMACY 1, LLC

Doing business as

Landry's Pharmacy 1, LLC

Practice address

416 N Burnside Ave
Gonzales, LA 70737-2828

Phone

(504) 957-6784

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Darvis Harvey

Title

Owner

Phone

(504) 957-6784

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Landry's Pharmacy 1, LLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1457912958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372828",
            "telephone_number": "504-957-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372828",
            "telephone_number": "504-957-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRY'S PHARMACY 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "DARVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-957-6784",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF PHARMACY",
            "identifier": "007878",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GONZALES",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "416 N Burnside Ave",
            "city": "Gonzales",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707372828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Landry's Pharmacy 1, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn P Lancon, RPH
• Baily Amedee Landry, MOT
• Brittany Alexis Landry, MD
• Cheri S Landry, RD
• Patricia Landry
• Landrys Medical Transportation LLC
• Landrys Pharmacy Inc (Landry's Pharmacy)
• Analesia Lang, APRN, FNP-BC
• Jamie Lynn Langford, LMSW
• McKenzie Lasseigne

• Community/Retail Pharmacy in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.