NPIMap

Organization Active NPI

Ochsner Pharmacy and Wellness LLC

  • Pharmacy
  • Raceland, LA
National Provider Identifier
1467908301
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY.007343-RC Issued in LA
Legal business name
OCHSNER PHARMACY AND WELLNESS LLC
Doing business as
Ochsner Pharmacy and Wellness- St. Anne
Practice address
108 Acadia Park Dr
Raceland, LA 70394-2618
Phone
(504) 842-8326
Fax
(504) 842-8477
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Richard Rovira
Title
Director
Phone
(504) 842-8623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY.007343-RC LA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

108 Acadia Park Dr
Raceland, LA 70394-2618

Mailing address

108 Acadia Park Dr
Raceland, LA 70394-2618
Phone (504) 842-8326

Other identifiers 1

IdentifierTypeStateIssuer
2163922OtherPK

Other names 1

  • Ochsner Pharmacy and Wellness- St. Anne Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822000419 LA Part B Supplier - Pharmacy 8022331636 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Terrytown, LA; Baton Rouge, LA; Slidell, LA; Raceland, LA; New Orleans, LA; Metairie, LA; Covington, LA; Jefferson, LA…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1450 Poydras St
Ste 310
New Orleans, LA 70112

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1467908301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ACADIA PARK DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942618",
            "telephone_number": "504-842-8326",
            "fax_number": "504-842-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ACADIA PARK DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942618",
            "telephone_number": "504-842-8326",
            "fax_number": "504-842-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER PHARMACY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "ROVIRA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-842-8623"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "PHY.007343-RC",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner Pharmacy and Wellness- St. Anne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raceland, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.