Organization Active NPI

Central Drug Store Inc

  • Nursing Facility/Intermediate Care Facility
  • Baton Rouge, LA
National Provider Identifier
1578115143
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
CENTRAL DRUG STORE INC
Practice address
9952 Sullivan Rd
Baton Rouge, LA 70818-4300
Phone
(225) 262-6200
Fax
(225) 262-6578
NPI assigned
Jul 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Jill White MillerNPI 1730301946
Title
Manager
Phone
(225) 262-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Nursing Facility/Intermediate Care Facility 313M00000X Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

9952 Sullivan Rd
Baton Rouge, LA 70818-4300

Mailing address

9952 Sullivan Rd
Baton Rouge, LA 70818-4300
Phone (225) 262-6200

Other identifiers 1

IdentifierTypeStateIssuer
1265926MedicaidLA

National Provider Directory

National Provider Directory

Locations

9952 Sullivan Rd
Baton Rouge, LA 70818
Phone (225) 262-6200

Practitioners & affiliated clinicians

Practitioners 1

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": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1578115143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9952 SULLIVAN RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184300",
            "telephone_number": "225-262-6200",
            "fax_number": "225-262-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9952 SULLIVAN RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184300",
            "telephone_number": "225-262-6200",
            "fax_number": "225-262-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-262-6200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265926",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 15, 2019; 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.