Organization Active NPI

Yanez Enterprises LLC

Doing business as Family Drug Mart #2

  • Community/Retail Pharmacy
  • Pearl River, LA
National Provider Identifier
1598940801
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY005924IR Issued in LA
Legal business name
YANEZ ENTERPRISES LLC
Doing business as
Family Drug Mart #2
Practice address
61461 Highway 1090
Pearl River, LA 70452-4146
Phone
(985) 863-3737
Fax
(985) 863-3237
NPI assigned
Jan 4, 2008
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Jose Yanez, RPH
Title
Owner
Phone
(504) 338-7992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY005924IR LA Primary

Addresses

Primary practice location

61461 Highway 1090
Pearl River, LA 70452-4146

Mailing address

2299 Sunset Blvd
Slidell, LA 70461-5605
Phone (504) 338-7992

Other identifiers 2

IdentifierTypeStateIssuer
1218308MedicaidLA
2035556OtherPK

Other names 1

  • FAMILY DRUG MART #2 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210413000054 LA Part B Supplier - Pharmacy 1456766716 Practice locations: Pearl River, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1598940801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 SUNSET BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615605",
            "telephone_number": "504-338-7992",
            "fax_number": "985-863-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61461 HIGHWAY 1090",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704524146",
            "telephone_number": "985-863-3737",
            "fax_number": "985-863-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANEZ ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-24",
        "status": "A",
        "authorized_official_last_name": "YANEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-338-7992",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY005924IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1218308",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY DRUG MART #2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY DRUG MART #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearl River, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.