Layton Pharmacy L.L.C.
Organization Active NPI Pharmacy · Covington, LA
NPI 1487058004 · NPPES record last updated May 15, 2015
Key facts
- NPI
- 1487058004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- LAYTON PHARMACY L.L.C.
- Practice address
- 70457 Highway 21 Ste 118
Covington, LA 70433-8155 - Phone
- (504) 621-0402
- NPI assigned
- Oct 9, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Pamela Layton, RPHD.
- Title
- Owner
- Phone
- (504) 621-0402
Corporate family (same tax ID) 1
Practitioners 1
-
Pamela Layton, PHARMACIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150520000217 | LA | Part B Supplier - Pharmacy | 7416277165 | Practice locations: Covington, LA |
| O20150806011042 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416277165 | Practice locations: Covington, LA |
National Provider Directory
- Tax ID family
- Layton Family Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
70457 Highway 21 Ste 118
Covington, LA 70433-8155
Mailing address
70457 Highway 21 Ste 118
Covington, LA 70433-8155
Phone (985) 888-1170
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.