Votran RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.007541-IR Issued in LA

Legal business name

VOTRAN RX LLC

Practice address

4646 Michoud Blvd Ste D5
New Orleans, LA 70129-1800

Phone

(504) 435-1422

Fax

(504) 435-1558

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Paul VoNPI 1649671942

Title

Owner, Pic, Ao

Phone

(504) 237-1332

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Michoud Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Vo

  • Pharmacist
  • Metairie, LA
  • NPI 1649671942
  NPD Authorized official
• Chau Nguyen, RPH-PHARMD

  • Pharmacist
  • New Orleans, LA
  • NPI 1962019828
  NPD (past)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582934400000",
    "number": "1518477355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 MICHOUD BLVD STE D5",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701291800",
            "telephone_number": "504-435-1422",
            "fax_number": "504-435-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 MICHOUD BLVD STE D5",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701291800",
            "telephone_number": "504-435-1422",
            "fax_number": "504-435-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOTRAN RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "504-237-1332"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007541-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171428",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205501",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michoud Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Retail Pharmacy in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.