NPIMap

Organization Active NPI

Medical Center of Louisiana at New Orleans

  • Pharmacist
  • New Orleans, LA
National Provider Identifier
1487647160
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4638-IR Issued in LA
Legal business name
MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS
Practice address
1532 Tulane Ave
West Pavilion
New Orleans, LA 70112-2860
Phone
(504) 903-0905
Fax
(504) 903-0906
NPI assigned
Aug 26, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dwayne Thomas, M.D.
Title
Chief Executive Officer
Phone
(504) 903-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4638-IR LA Primary

Addresses

Primary practice location

1532 Tulane Ave
West Pavilion
New Orleans, LA 70112-2860

Mailing address

1532 Tulane Ave
West Pavilion
New Orleans, LA 70112-2860
Phone (504) 903-0905

National Provider Directory

National Provider Directory
Tax ID family
Bertrand Carol a8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1532 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487647160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 TULANE AVE",
            "address_2": "WEST PAVILION",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122860",
            "telephone_number": "504-903-0905",
            "fax_number": "504-903-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 TULANE AVE",
            "address_2": "WEST PAVILION",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122860",
            "telephone_number": "504-903-0905",
            "fax_number": "504-903-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "504-903-3332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "4638-IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.