Organization Active NPI

Don Chaucer'S Pharmacy, Inc

  • Community/Retail Pharmacy
  • Hammond, LA
National Provider Identifier
1568523744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2401 Issued in LA
Legal business name
DON CHAUCER'S PHARMACY, INC
Practice address
15794 Medical Arts Plaza
Hammond, LA 70403-1446
Phone
(985) 345-7979
Fax
(985) 345-7493
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Terri D Chaucer
Title
Owner
Phone
(985) 345-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2401 LA Primary

Addresses

Primary practice location

15794 Medical Arts Plaza
Hammond, LA 70403-1446

Mailing address

15794 Medical Arts Plaza
Hammond, LA 70403-1446
Phone (985) 345-7979

Other identifiers 1

IdentifierTypeStateIssuer
1259543MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210413000600 LA Part B Supplier - Pharmacy 6406264456 Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Locations

15794 Medical Arts Dr
Hammond, LA 70403
Phone (985) 345-7979

Practitioners & affiliated clinicians

Practitioners 3

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568523744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15794 MEDICAL ARTS PLAZA",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-345-7979",
            "fax_number": "985-345-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15794 MEDICAL ARTS PLAZA",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-345-7979",
            "fax_number": "985-345-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON CHAUCER'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAUCER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-345-7979"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1259543",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.