Organization Active NPI

Sisters Pharmacy LLC

  • Community/Retail Pharmacy
  • Metairie, LA
National Provider Identifier
1528704103
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SISTERS PHARMACY LLC
Practice address
2916 David Dr
Metairie, LA 70003-4516
Phone
(504) 354-8616
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Mrs. Dalena Nguyen, PHARMDNPI 1285281600
Title
Pharmacist
Phone
(504) 354-8616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2916 David Dr
Metairie, LA 70003-4516

Mailing address

2916 David Dr
Metairie, LA 70003-4516
Phone (504) 354-8616

Other identifiers 1

IdentifierTypeStateIssuer
2209337MedicaidLA

Other names 1

  • Sisters 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
O20220706000034 LA Part B Supplier - Pharmacy 5991185159 Practice locations: Metairie, LA
O20221004001969 LA Part B Supplier - Mass Immunization (Roster Biller Only) 5991185159 Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

2916 David Dr
Metairie, LA 70003
Phone (504) 354-8616

Practitioners & affiliated clinicians

Practitioners 2

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": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1528704103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 DAVID DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700034516",
            "telephone_number": "504-354-8616",
            "fax_number": "833-481-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 DAVID DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700034516",
            "telephone_number": "504-354-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DALENA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "504-354-8616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2209337",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sisters Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.