Active NPI
Drys Pharmacy LLC
Doing business as Drys Pharmacy
- Community/Retail Pharmacy
- Zachary, LA
National Provider Identifier
1669624250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234320 | Medicaid | LA | |
| 2117448 | Other | PK |
Other names 1
- Drys Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181015001429 | LA | Part B Supplier - Pharmacy | 3476805714 | Practice locations: Zachary, LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- New Iberia, LA
- NPI 1942604509
-
- Pharmacist
- Zachary, LA
- NPI 1235618307
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.