Active NPI
New Life Pharmacy LLC
- Community/Retail Pharmacy
- Baton Rouge, LA
National Provider Identifier
1508095407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6148
- Legal business name
- NEW LIFE PHARMACY LLC
- Practice address
- 234 Little John Dr
Baton Rouge, LA 70815-6124 - Phone
- (225) 275-2425
- Fax
- (225) 275-2427
- NPI assigned
- Jul 13, 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
- Tena Parker
- Title
- Owner/Pic
- Phone
- (225) 275-2425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 6148 | LA | Primary |
Addresses
Primary practice location
234 Little John Dr
Baton Rouge, LA 70815-6124
Mailing address
PO Box 45276
Baton Rouge, LA 70895-4276
Phone (225) 275-2425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1934668 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- NEW LIFE PHARMACY, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253836800000",
"number": "1508095407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45276",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708954276",
"telephone_number": "225-275-2425",
"fax_number": "225-275-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 LITTLE JOHN DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708156124",
"telephone_number": "225-275-2425",
"fax_number": "225-275-2427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-13",
"last_updated": "2009-09-25",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "TENA",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "225-275-2425"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "LA",
"license": "6148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1934668",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEW LIFE PHARMACY, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.