NPIMap

Organization Active NPI

Ochsner Pharmacy and Wellness LLC

  • Community/Retail Pharmacy
  • Covington, LA
National Provider Identifier
1720490857
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.006894-IR Issued in LA
Legal business name
OCHSNER PHARMACY AND WELLNESS LLC
Doing business as
Ochsner Pharmacy and Wellness - Covington
Practice address
1000 Ochsner Blvd
Covington, LA 70433-8107
Phone
(985) 871-2549
Fax
(985) 871-2523
NPI assigned
May 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Bobby Brannon
Title
Exec. Vice President Finance
Phone
(504) 842-3400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.006894-IR LA Primary

Addresses

Primary practice location

1000 Ochsner Blvd
Covington, LA 70433-8107

Mailing address

PO Box 54696
New Orleans, LA 70154-4696
Phone (985) 871-2549

Other identifiers 2

IdentifierTypeStateIssuer
2145949OtherPK
2202901MedicaidLA

Other names 1

  • Ochsner Pharmacy and Wellness - Covington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822000419 LA Part B Supplier - Pharmacy 8022331636 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Terrytown, LA; Baton Rouge, LA; Slidell, LA; Raceland, LA; New Orleans, LA; Metairie, LA; Covington, LA; Jefferson, LA…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1720490857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54696",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544696",
            "telephone_number": "985-871-2549",
            "fax_number": "985-871-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338107",
            "telephone_number": "985-871-2549",
            "fax_number": "985-871-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER PHARMACY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "EXEC. VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "504-842-3400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006894-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202901",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner Pharmacy and Wellness - Covington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.

Verify at the official NPI Registry.