Organization Active NPI

Community Choice Pharmacy LLC

  • Long Term Care Pharmacy
  • New Orleans, LA
National Provider Identifier
1720559743
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
COMMUNITY CHOICE PHARMACY LLC
Practice address
9970 Lake Forest Blvd
New Orleans, LA 70127-2609
Phone
(504) 240-0000
Fax
(504) 240-0009
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Dr. Herbert Burrell, PHARM D
Title
President/Pharmacist
Phone
(504) 957-2336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

9970 Lake Forest Blvd
New Orleans, LA 70127-2609

Mailing address

9970 Lake Forest Blvd
New Orleans, LA 70127-2609
Phone (504) 240-0000

Other identifiers 1

IdentifierTypeStateIssuer
2202391MedicaidLA

National Provider Directory

National Provider Directory

Locations

9970 Lake Forest Blvd
New Orleans, LA 70127
Phone (504) 240-0000

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1720559743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 LAKE FOREST BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272609",
            "telephone_number": "504-240-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 LAKE FOREST BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272609",
            "telephone_number": "504-240-0000",
            "fax_number": "504-240-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHOICE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "504-957-2336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202391",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.