Organization Active NPI

New Life Pharmacy LLC

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1508095407
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6148 Issued in LA
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

Updated by the provider on Sep 25, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1934668OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • NEW LIFE PHARMACY, LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.