NPIMap

Organization Active NPI

Our Lady of the Lake Hospital, Inc.

  • Institutional Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1659914513
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
OUR LADY OF THE LAKE HOSPITAL, INC.
Practice address
8300 Constantin Blvd FL 2
Baton Rouge, LA 70809-3489
Phone
(225) 765-8786
Fax
(225) 765-9906
NPI assigned
Oct 23, 2019
Organization subpart
Yes
Parent organization
OUR LADY OF THE LAKE HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Mr. Frank Canova Jr.
Title
Vice President of Finance
Phone
(225) 765-6312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X Primary

Addresses

Primary practice location

8300 Constantin Blvd FL 2
Baton Rouge, LA 70809-3489

Mailing address

8300 Constantin Blvd FL 2
Baton Rouge, LA 70809-3489
Phone (225) 374-4325

Other names 1

  • Our Lady of the Lake Children's Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Industrial Family Medic10 organizations share this tax ID, including this one
Part of
Industrial Family Medic

Other organizations with this tax ID 9

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

Locations

8300 Constantin Blvd
Fl 2
Baton Rouge, LA 70809
Phone (225) 374-1316

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1659914513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CONSTANTIN BLVD FL 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093489",
            "telephone_number": "225-374-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CONSTANTIN BLVD FL 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093489",
            "telephone_number": "225-765-8786",
            "fax_number": "225-765-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE LAKE HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF THE LAKE HOSPITAL, INC.",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "CANOVA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "225-765-6312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Lady of the Lake Children's Hospital Pharmacy",
            "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 Oct 23, 2019; 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.