Organization Active NPI

Drys Pharmacy LLC

Doing business as Drys Pharmacy

  • Community/Retail Pharmacy
  • Zachary, LA
National Provider Identifier
1669624250
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DRYS PHARMACY LLC
Doing business as
Drys Pharmacy
Practice address
4344 Church St
Zachary, LA 70791-3102
Phone
(225) 654-1175
Fax
(225) 654-0132
NPI assigned
Oct 15, 2008
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Rahul Patel
Title
Owner
Phone
(225) 654-1175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY.006050-IR LA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4344 Church St
Zachary, LA 70791-3102

Mailing address

4344 Church St
Zachary, LA 70791-3102
Phone (225) 654-1175

Other identifiers 2

IdentifierTypeStateIssuer
1234320MedicaidLA
2117448OtherPK

Other names 1

  • Drys Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181015001429 LA Part B Supplier - Pharmacy 3476805714 Practice locations: Zachary, LA

National Provider Directory

National Provider Directory

Locations

4344 Church St
Zachary, LA 70791
Phone (225) 654-1175

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1669624250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913102",
            "telephone_number": "225-654-1175",
            "fax_number": "225-654-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913102",
            "telephone_number": "225-654-1175",
            "fax_number": "225-654-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRYS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-654-1175"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006050-IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234320",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117448",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drys Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drys Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.