NPIMap

Organization Active NPI

180 Family Services LLC

Doing business as Island Drug and Wellness

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1609495324
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
180 FAMILY SERVICES LLC
Doing business as
Island Drug and Wellness
Practice address
9418 Brookline Ave Ste C
Baton Rouge, LA 70809-1428
Phone
(225) 390-6963
Fax
(225) 650-7414
NPI assigned
Apr 13, 2020
Last updated
Dec 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Authorized official

Name
Rod Royal
Title
Director of Operations
Phone
(225) 249-0079

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9418 Brookline Ave Ste C
Baton Rouge, LA 70809-1428

Mailing address

9418 Brookline Ave Ste C
Baton Rouge, LA 70809-1428
Phone (225) 249-0079

Other practice location 1

311 Chisum St
Sicily Island, LA 71368-4807
Phone (225) 249-0079

Other identifiers 1

IdentifierTypeStateIssuer
0000000000MedicaidLA

Other names 1

  • Island Drug and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

9418 Brookline Ave
#B
Baton Rouge, LA 70809
Phone (225) 933-8692

9418 Brookline Ave
#C
Baton Rouge, LA 70809
Phone (225) 279-9740

Practitioners & affiliated clinicians

Practitioners 2

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": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734220800000",
    "number": "1609495324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9418 BROOKLINE AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091428",
            "telephone_number": "225-249-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9418 BROOKLINE AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091428",
            "telephone_number": "225-390-6963",
            "fax_number": "225-650-7414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Chisum St",
            "address_purpose": "LOCATION",
            "city": "Sicily Island",
            "state": "LA",
            "postal_code": "713684807",
            "country_code": "US",
            "telephone_number": "225-249-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "180 FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "225-249-0079"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Drug and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 15, 2024; 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.