NPIMap

Organization Active NPI

Our Lady of Lourdes Apothecary

  • Community/Retail Pharmacy
  • Lafayette, LA
National Provider Identifier
1518186022
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4431 Issued in LA
Legal business name
OUR LADY OF LOURDES APOTHECARY
Practice address
601 W Saint Mary Blvd
Ste 101
Lafayette, LA 70506-3568
Phone
(337) 289-4040
Fax
(337) 289-4039
NPI assigned
Apr 24, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
William Barrow, RPL
Title
Ceo Our Lady of Lourdes
Phone
(337) 289-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 4431 LA Primary

Addresses

Primary practice location

601 W Saint Mary Blvd
Ste 101
Lafayette, LA 70506-3568

Mailing address

601 W Saint Mary Blvd
Ste 101
Lafayette, LA 70506-3568

Other identifiers 2

IdentifierTypeStateIssuer
1929592OtherOTHER ID NUMBER
1267929MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lady of Lourdes Ed Phys7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 W Saint Mary Blvd
Ste 101
Lafayette, LA 70506
Phone (337) 289-4040

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1518186022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD",
            "address_2": "STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063568",
            "telephone_number": "337-289-4040",
            "fax_number": "337-289-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO OUR LADY OF LOURDES",
        "authorized_official_telephone_number": "337-289-2000",
        "authorized_official_credential": "RPL"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "4431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1929592",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1267929",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.