Active NPI
Roelings Pharmacy LLC
- Community/Retail Pharmacy
- Mandeville, LA
National Provider Identifier
1710144548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6009IR
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1933820 | Other | OTHER ID NUMBER |
Other names 1
- ROELINGS PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.