Organization Active NPI

Landrys Pharmacy Inc

Doing business as Landry's Pharmacy

  • Community/Retail Pharmacy
  • Gonzales, LA
National Provider Identifier
1659453447
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.000645-IR Issued in LA
Legal business name
LANDRYS PHARMACY INC
Doing business as
Landry's Pharmacy
Practice address
416 N Burnside Ave
Gonzales, LA 70737-2828
Phone
(225) 647-3583
Fax
(225) 644-3363
NPI assigned
Oct 20, 2006
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
James Landry, RPH
Title
Owner Phcst
Phone
(225) 647-3583

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY.000645-IR LA Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

416 N Burnside Ave
Gonzales, LA 70737-2828

Mailing address

416 N Burnside Ave
Gonzales, LA 70737-2828
Phone (225) 647-3583

Other identifiers 2

IdentifierTypeStateIssuer
2028714OtherPK
1225151MedicaidLA

Other names 1

  • LANDRY'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

416 N Burnside Ave
Gonzales, LA 70737
Phone (225) 416-7518

416 N Burnside Ave
#237
Gonzales, LA 70737

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1659453447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372828",
            "telephone_number": "225-647-3583",
            "fax_number": "225-644-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372828",
            "telephone_number": "225-647-3583",
            "fax_number": "225-644-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRYS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "225-647-3583",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.000645-IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028714",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225151",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANDRY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.