Organization Active NPI

Lee Road Drugs

  • Community/Retail Pharmacy
  • Covington, LA
National Provider Identifier
1568640902
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5193 Issued in LA
Legal business name
LEE ROAD DRUGS
Practice address
19705 Highway 40
Suite 100
Covington, LA 70435-9316
Phone
(985) 892-4800
Fax
(985) 871-8833
NPI assigned
Feb 7, 2008
Organization subpart
Yes
Parent organization
LEE ROAD DRUGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Mr. Robert Louis Kryjak, RPH
Title
Pharmacist-in-Charge
Phone
(985) 982-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5193 LA Primary

Addresses

Primary practice location

19705 Highway 40
Suite 100
Covington, LA 70435-9316

Mailing address

19705 Highway 40
Suite 100
Covington, LA 70435-9316
Phone (985) 892-4800

Other identifiers 1

IdentifierTypeStateIssuer
1271268MedicaidLA

National Provider Directory

National Provider Directory

Locations

19705 Highway 40
#100
Covington, LA 70435
Phone (985) 892-4800

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1568640902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19705 HIGHWAY 40",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704359316",
            "telephone_number": "985-892-4800",
            "fax_number": "985-871-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19705 HIGHWAY 40",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704359316",
            "telephone_number": "985-892-4800",
            "fax_number": "985-871-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ROAD DRUGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEE ROAD DRUGS LLC",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "KRYJAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "985-982-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "5193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271268",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.