Jeansonne Family Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JEANSONNE FAMILY PHARMACY, LLC

Practice address

521 Asbury Drive
Mandeville, LA 70471

Phone

(985) 951-2688

Fax

(985) 951-2691

NPI assigned

Feb 26, 2018

Organization subpart

No

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

Authorized official

Name

Bryan JeansonneNPI 1942515283

Title

Owner

Phone

(985) 264-0512

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeansonne Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Jeansonne

  • Pharmacist
  • Mandeville, LA
  • NPI 1942515283
  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1639670672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ASBURY DRIVE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-951-2688",
            "fax_number": "985-951-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ASBURY DRIVE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-951-2688",
            "fax_number": "985-951-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANSONNE FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "JEANSONNE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-264-0512"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205633",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeansonne Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaunasi James
• Nathan Daniel Jamison, LCSW
• Anne Patricia Jansen, PMHNP
• Jason R Alvarez Dentistry LLC
• Jayne a Sanchez DDS Family Dentistry
• Ben Jeansonne
• Bryan Jeansonne
• Rhiannon G Jeansonne, PHARMD
• Richard Michael Jeansonne Jr., M.D.
• Madeline Jee

• Community/Retail Pharmacy in Mandeville, LA
• Providers in Mandeville, 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 10, 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.