Active NPI
Advanced Specialty Pharmacy
- Home Infusion Therapy Pharmacy
- Lafayette, LA
National Provider Identifier
1487696266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 5601
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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- Advanced Laser Equipment, LLC
- Advanced Nursing and Consulting
- Advantage Profiles L.L.C.
- Robert G Aebli, LCSW-BACS
- Aesthetic Institute of the South,LLC
- Affiliated Blind of Louisiana Training Center
- Afnb Home Care LLC (A First Name Basis Home Care)
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.