Active NPI
Lee Road Drugs
- Community/Retail Pharmacy
- Covington, LA
National Provider Identifier
1568640902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5193
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1271268 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.