Pharma Fusion, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMA FUSION, LLC

Practice address

518 Pujo Street
Lake Charles, LA 70601-4365

Phone

(337) 761-5397

Fax

(337) 761-0831

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Sajal K Roy, PHARM.D.

Title

Sole Member

Phone

(337) 761-5397

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pharma Fusion LLC

  • Community/Retail Pharmacy
  • Bullhead City, AZ
  • NPI 1053105940

  7810436458

  Same PAC ID

These 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

Tax ID family

Pharma Fusion LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pharma Fusion LLC

  • Community/Retail Pharmacy
  • Bullhead City, AZ
  • NPI 1053105940
  NPD tax ID

Locations

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1487482782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 PUJO STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014365",
            "telephone_number": "337-761-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 PUJO STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706014365",
            "telephone_number": "337-761-5397",
            "fax_number": "337-761-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA FUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SAJAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "337-761-5397",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christe Hester Pettis, M.A., CCC-SLP
• Michael Rand Pettit, PHARMD
• Robin P Pettit, PHARMD
• PGF Transportation LLC
• Tuananh Minh Pham, M.D.
• Caitlyn Pharris, DPT
• David Paul Phillips, M.A., LPC, LMFT
• Elizabeth Jane Phillips
• Machelle H Phillips, LMT, MLD-C
• Pamela Phillips, DC

• Community/Retail Pharmacy in Lake Charles, LA
• Providers in Lake Charles, 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 Jul 26, 2024; 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.

Verify at the official NPI Registry.