Organization Active NPI

Roelings Pharmacy LLC

  • Community/Retail Pharmacy
  • Mandeville, LA
National Provider Identifier
1710144548
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6009IR Issued in LA
Legal business name
ROELINGS PHARMACY LLC
Doing business as
ROELINGS PHARMACY
Practice address
2647 N Causeway Blvd
Ste 100
Mandeville, LA 70471
Phone
(985) 629-2240
Fax
(985) 629-2247
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Milton Keen, PHRMD
Title
Pic
Phone
(504) 258-8985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 6009IR LA Primary

Addresses

Primary practice location

2647 N Causeway Blvd
Ste 100
Mandeville, LA 70471

Mailing address

2647 N Causeway Blvd
Ste 100
Mandeville, LA 70471

Other identifiers 1

IdentifierTypeStateIssuer
1933820OtherOTHER ID NUMBER

Other names 1

  • ROELINGS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2647 N Causeway Blvd
Ste 100
Mandeville, LA 70471
Phone (985) 629-2240

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1710144548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 N CAUSEWAY BLVD",
            "address_2": "STE 100",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 N CAUSEWAY BLVD",
            "address_2": "STE 100",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-629-2240",
            "fax_number": "985-629-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROELINGS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "504-258-8985",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "6009IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1933820",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROELINGS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.