Dutchtown Family Pharmacy
Organization Active NPI Community/Retail Pharmacy · Geismar, LA
NPI 1649925835 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1649925835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- DUTCHTOWN FAMILY PHARMACY
- Practice address
- 13011 Highway 73
Geismar, LA 70734-3095 - Phone
- (225) 677-5070
- Fax
- (225) 673-5060
- NPI assigned
- Feb 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Lindsey Driscoll
- Title
- Senior Office Manager
- Phone
- (504) 952-0670
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220622001974 | LA | Part B Supplier - Pharmacy | 7416336425 | Practice locations: Geismar, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
13011 Highway 73
Geismar, LA 70734-3095
Mailing address
1812 W Thomas St
Hammond, LA 70401-2945
Phone (985) 345-4767
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2209302 | Medicaid | LA |
Other names
- Dutchtown Pharmacy
Other providers in Geismar, LA
- Persis Daniels
- Deliverance Transportation SVC
- Divine Assignment Care Services LLC
- Dr. Dwight D Landry a Professional Dental Corporation - Geismar
- Antonia Dupree
- Dutchtown Pharmacy L L C
- Dutchtown Physical Therapy
- Shantay Ealy
- Josiah Eastman
- Family Pharmacy LLC
All providers in Geismar, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.