Organization Active NPI

Chris Pharmacy of Gonzales LLC

Doing business as Chris' Pharmacy in Gonzales

  • Community/Retail Pharmacy
  • Gonzales, LA
National Provider Identifier
1518568054
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHRIS PHARMACY OF GONZALES LLC
Doing business as
Chris' Pharmacy in Gonzales
Practice address
14505 Highway 44 Ste 112
Gonzales, LA 70737-7195
Phone
(225) 573-4578
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Warren C Williams, RPH
Title
Manager
Phone
(225) 698-6000

Specialties & licenses 1

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

Addresses

Primary practice location

14505 Highway 44 Ste 112
Gonzales, LA 70737-7195

Mailing address

PO Box 328
Albany, LA 70711-0328
Phone (225) 267-5700

Other names 1

  • Chris' Pharmacy in Gonzales Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221027003198 LA Part B Supplier - Pharmacy 8527435973 Practice locations: Gonzales, LA

National Provider Directory

National Provider Directory

Locations

14505 Highway 44
Lot 112
Gonzales, LA 70737
Phone (225) 267-5700

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": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1518568054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "ALBANY",
            "state": "LA",
            "postal_code": "707110328",
            "telephone_number": "225-267-5700",
            "fax_number": "225-267-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 HIGHWAY 44 STE 112",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707377195",
            "telephone_number": "225-573-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS PHARMACY OF GONZALES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-698-6000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris' Pharmacy in Gonzales",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chris' Pharmacy in Gonzales",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.