Organization Active NPI

Sams Club Pharmacy 6521

  • Pharmacist
  • Houma, LA
National Provider Identifier
1700278751
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16106 Issued in LA
Legal business name
SAMS CLUB PHARMACY 6521
Practice address
2174 Martin Luther King Jr Blvd
Houma, LA 70360-2275
Phone
(985) 851-2147
Fax
(985) 851-2286
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Margo Chauvin
Title
Pharmacy Manager
Phone
(985) 665-4196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 16106 LA Primary

Addresses

Primary practice location

2174 Martin Luther King Jr Blvd
Houma, LA 70360-2275

Mailing address

2174 Martin Luther King Jr Blvd
Houma, LA 70360-2275

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1700278751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 MARTIN LUTHER KING JR BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 MARTIN LUTHER KING JR BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602275",
            "telephone_number": "985-851-2147",
            "fax_number": "985-851-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMS CLUB PHARMACY 6521",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "CHAUVIN",
        "authorized_official_first_name": "MARGO",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "985-665-4196"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.