Pegasus Biologics, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.006999-IR Issued in LA

Legal business name

PEGASUS BIOLOGICS, LLC

Practice address

5700 Citrus Blvd
Suite D
Harahan, LA 70123-5813

Phone

(504) 281-4408

NPI assigned

Dec 12, 2014

Last updated

Dec 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Blalock Testa

Title

Owner

Phone

(504) 281-4408

Specialties & licenses 1

Addresses

Other names 1

• Pegasus Pharmacy Other name

Tax ID family

Pegasus Biologics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pegasus Biologics LLC

  dba Pegasus Biologics Pharmacy

  • Community/Retail Pharmacy
  • New Orleans, LA
  • NPI 1356757256
  NPD tax ID

Locations

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.

• Jamie Blalock Schwab, PHARMD

  • Pharmacist
  • New Orleans, LA
  • NPI 1659412815
  NPD (past)

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1619375219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 CITRUS BLVD",
            "address_2": "SUITE D",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701235813",
            "telephone_number": "504-281-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 CITRUS BLVD",
            "address_2": "SUITE D",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701235813",
            "telephone_number": "504-281-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS BIOLOGICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "TESTA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "BLALOCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-281-4408",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006999-IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pegasus Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Alyssa Perino, LMSW
• Dao Pham, PHARM.D.
• Marsha Lynn Philips, PSY.D.

• Community/Retail Pharmacy in Harahan, LA
• Providers in Harahan, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.