Dutchtown Pharmacy L L C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY-005662-IR Issued in LA

Legal business name

DUTCHTOWN PHARMACY L L C

Practice address

13011 Highway 73
Geismar, LA 70734-3021

Phone

(225) 677-5070

Fax

(225) 673-5060

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Mike Tinnerello

Title

Manager/Owner

Phone

(985) 320-5175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DUTCHTOWN PHARMACY LLC Doing business as

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1679519607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012945",
            "telephone_number": "225-677-5070",
            "fax_number": "225-673-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 HIGHWAY 73",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343021",
            "telephone_number": "225-677-5070",
            "fax_number": "225-673-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCHTOWN PHARMACY L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "TINNERELLO",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "985-320-5175"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY-005662-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035369",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUTCHTOWN PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Geismar, LA
• Providers in Geismar, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.