Louisiana Specialty Pharmacy Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PHY007142IR Issued in LA

Legal business name

LOUISIANA SPECIALTY PHARMACY INC

Doing business as

Louisiana Specialty Pharmacy

Practice address

600 Johnston St Ste B
Lafayette, LA 70501-8060

Phone

(337) 235-7622

Fax

(337) 484-3504

NPI assigned

Jul 16, 2015

Last updated

Dec 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wesley David

Title

Ceo/Owner

Phone

(337) 235-7622

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Louisiana Specialty Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1780068155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N CUSHING AVE",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705482615",
            "telephone_number": "337-643-7952",
            "fax_number": "337-643-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JOHNSTON ST STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018060",
            "telephone_number": "337-235-7622",
            "fax_number": "337-484-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "337-235-7622"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "LA",
            "license": "PHY007142IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151618",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203843",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Specialty Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.