Organization Active NPI

Advanced Specialty Pharmacy

  • Home Infusion Therapy Pharmacy
  • Lafayette, LA
National Provider Identifier
1487696266
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
5601 Issued in LA
Legal business name
ADVANCED SPECIALTY PHARMACY
Doing business as
Advanced Specialty Pharmacy
Practice address
719 Coolidge St
Lafayette, LA 70503-2309
Phone
(337) 264-0301
Fax
(337) 264-0307
NPI assigned
Jun 13, 2006
Last updated
Aug 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Randy Dauzat, RPH
Title
Pharmacy Manger
Phone
(337) 264-0301

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Dialysis Equipment & Supplies (DME) 332BD1200X
Nursing Facility Supplies (DME) 332BN1400X
Oxygen Equipment & Supplies (DME) 332BX2000X
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X 5601 LA Primary

Addresses

Primary practice location

719 Coolidge St
Lafayette, LA 70503-2309

Mailing address

719 Coolidge St
Lafayette, LA 70503-2309
Phone (337) 264-0301

Other names 1

  • ADVANCED SPECIALTY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

719 Coolidge St
Lafayette, LA 70503
Phone (337) 264-0301

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1487696266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 COOLIDGE ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032309",
            "telephone_number": "337-264-0301",
            "fax_number": "337-264-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 COOLIDGE ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032309",
            "telephone_number": "337-264-0301",
            "fax_number": "337-264-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "DAUZAT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PHARMACY MANGER",
        "authorized_official_telephone_number": "337-264-0301",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "LA",
            "license": "5601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.