Organization Active NPI

Papa's Farmacia Via Luzianna LLC

  • Community/Retail Pharmacy
  • Denham Springs, LA
National Provider Identifier
1518527977
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PAPA'S FARMACIA VIA LUZIANNA LLC
Practice address
25831 Walker South Rd Ste 1
Denham Springs, LA 70726
Phone
(225) 243-5100
Fax
(225) 347-5350
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Dr. Stephanie Anne Schatzle Sprague, PHARMD, RGX, RPH
Title
Owner, President, Pic
Phone
(225) 243-5100

Specialties & licenses 1

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

Addresses

Primary practice location

25831 Walker South Rd Ste 1
Denham Springs, LA 70726

Mailing address

PO Box 86061
Baton Rouge, LA 70879-6061
Phone (225) 243-5100

Other identifiers 1

IdentifierTypeStateIssuer
2207130MedicaidLA

Other names 1

  • Papa's Farmacia via Luzianna LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

25831 Walker South Rd
Ste 1
Denham Springs, LA 70726
Phone (225) 243-5100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1518527977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86061",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708796061",
            "telephone_number": "225-243-5100",
            "fax_number": "225-347-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25831 WALKER SOUTH RD STE 1",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70726",
            "telephone_number": "225-243-5100",
            "fax_number": "225-347-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPA'S FARMACIA VIA LUZIANNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANNE  SCHATZLE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, PIC",
        "authorized_official_telephone_number": "225-243-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RGX, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207130",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Papa's Farmacia via Luzianna LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Papa's Farmacia via Luzianna LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.