Active NPI
Chris Pharmacy of Gonzales LLC
Doing business as Chris' Pharmacy in Gonzales
- Community/Retail Pharmacy
- Gonzales, LA
National Provider Identifier
1518568054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221027003198 | LA | Part B Supplier - Pharmacy | 8527435973 | Practice locations: Gonzales, LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Arden, NC
- NPI 1396372306
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.