Active NPI
Yanez Enterprises LLC
Doing business as Family Drug Mart #2
- Community/Retail Pharmacy
- Pearl River, LA
National Provider Identifier
1598940801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY005924IR
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1218308 | Medicaid | LA | |
| 2035556 | Other | PK |
Other names 1
- FAMILY DRUG MART #2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210413000054 | LA | Part B Supplier - Pharmacy | 1456766716 | Practice locations: Pearl River, LA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Pearl River, LA
- NPI 1033561410
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.