Organization Active NPI

SBS Holdings LLC

  • Compounding Pharmacy
  • Mandeville, LA
National Provider Identifier
1497059661
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
SBS HOLDINGS LLC
Practice address
21385 Marion LN
Suite B
Mandeville, LA 70471-8714
Phone
(985) 327-0100
Fax
(985) 327-0105
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Louis Summersgill
Title
Owner
Phone
(985) 327-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

21385 Marion LN
Suite B
Mandeville, LA 70471-8714

Mailing address

21385 Marion LN
Suite B
Mandeville, LA 70471-8714
Phone (985) 327-0100

Other identifiers 1

IdentifierTypeStateIssuer
1935470OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PRECISION COMPOUNDING SPECIALIST Doing business as

National Provider Directory

National Provider Directory

Locations

21385 Marion Ln
Ste B
Mandeville, LA 70471
Phone (985) 327-0100

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1497059661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21385 MARION LN",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704718714",
            "telephone_number": "985-327-0100",
            "fax_number": "985-327-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21385 MARION LN",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704718714",
            "telephone_number": "985-327-0100",
            "fax_number": "985-327-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBS HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "SUMMERSGILL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-327-0100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1935470",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRECISION COMPOUNDING SPECIALIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.