Active NPI
SBS Holdings LLC
- Compounding Pharmacy
- Mandeville, LA
National Provider Identifier
1497059661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1935470 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- PRECISION COMPOUNDING SPECIALIST
National Provider Directory
National Provider DirectoryLocations
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.