NPIMap

Organization Active NPI

Earl K Long Medical Center

  • Institutional Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1548271653
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
PHY.004380-IRX Issued in LA
Legal business name
EARL K LONG MEDICAL CENTER
Doing business as
Earl K Long Medical Center
Practice address
5825 Airline Hwy
Baton Rouge, LA 70805-2408
Phone
(225) 358-4826
Fax
(225) 358-4827
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Nikki Lee
Title
Pharmacy Director
Phone
(225) 358-4826

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Institutional Pharmacy 3336I0012X PHY.004380-IRX LA Primary

Addresses

Primary practice location

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Mailing address

Eklmc-Out Pharmacy
5825 Airline Hwy
Baton Rouge, LA 70805

Other identifiers 2

IdentifierTypeStateIssuer
1203831MedicaidLA
1914820OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • EARL K LONG MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Louisiana State University Health Sciences Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1548271653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EKLMC-OUT PHARMACY",
            "address_2": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-4826",
            "fax_number": "225-358-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL K LONG MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "225-358-4826"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "LA",
            "license": "PHY.004380-IRX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1203831",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1914820",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EARL K LONG MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.