Organization Active NPI

Nielsens Pharmacy LLC

  • Community/Retail Pharmacy
  • Bogalusa, LA
National Provider Identifier
1528051836
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.005222-IR Issued in LA
Legal business name
NIELSENS PHARMACY LLC
Doing business as
NIELSENS PHARMACY
Practice address
1619 S Columbia St
Bogalusa, LA 70427-5824
Phone
(985) 732-5752
Fax
(985) 732-5921
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Bill Nielsen
Title
Owner
Phone
(985) 732-5752

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.005222-IR LA Primary

Addresses

Primary practice location

1619 S Columbia St
Bogalusa, LA 70427-5824

Mailing address

1619 S Columbia St
Bogalusa, LA 70427-5824
Phone (985) 732-5752

Other identifiers 2

IdentifierTypeStateIssuer
1927815OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1271691MedicaidLA

Other names 1

  • NIELSENS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930003099 LA DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 4587785324 Practice locations: Bogalusa, LA
O20181030000608 LA Part B Supplier - Mass Immunization (Roster Biller Only) 4587785324 Practice locations: Bogalusa, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Nielsen'S Pharmacy1619 S Columbia St, Bogalusa, LA 70427-5824(985) 732-5752 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes an… Does not accept assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory

Locations

1619 S Columbia St
Bogalusa, LA 70427
Phone (985) 241-1346

Practitioners & affiliated clinicians

Practitioners 5

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1528051836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 S COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275824",
            "telephone_number": "985-732-5752",
            "fax_number": "985-732-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 S COLUMBIA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275824",
            "telephone_number": "985-732-5752",
            "fax_number": "985-732-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIELSENS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-732-5752"
    },
    "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.005222-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1927815",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIELSENS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.