Organization Active NPI

MD Pharmacy, LLC

  • Community/Retail Pharmacy
  • Gretna, LA
National Provider Identifier
1558966358
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MD PHARMACY, LLC
Practice address
925 Behrman Hwy Ste E&F
Gretna, LA 70056-4569
Phone
(504) 309-6799
Fax
(504) 766-8289
NPI assigned
Dec 1, 2020
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Anh Ngoc Dinh, PHARMD
Title
Pharmacist
Phone
(504) 309-6799

Specialties & licenses 1

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

Addresses

Primary practice location

925 Behrman Hwy Ste E&F
Gretna, LA 70056-4569

Mailing address

925 Behrman Hwy Ste E&F
Gretna, LA 70056-4569
Phone (504) 309-6799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504002997 LA Part B Supplier - Pharmacy 7517375769 Practice locations: Gretna, LA

National Provider Directory

National Provider Directory

Locations

925 Behrman Hwy
Ste E
Gretna, LA 70056
Phone (504) 309-6799

925 Behrman Hwy
Ste Ef
Gretna, LA 70056
Phone (504) 309-6799

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1558966358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BEHRMAN HWY STE E&F",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564569",
            "telephone_number": "504-309-6799",
            "fax_number": "504-766-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BEHRMAN HWY STE E&F",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564569",
            "telephone_number": "504-309-6799",
            "fax_number": "504-766-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "504-309-6799",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.