Active NPI
Tulane-Lakeside Hospital Pharmacy
- Women's Hospital
- Metairie, LA
National Provider Identifier
1780938464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Hospital
- License
- PHY.005554-HOS
- Legal business name
- TULANE-LAKESIDE HOSPITAL PHARMACY
- Practice address
- 4700 S I 10 Service Rd W
Metairie, LA 70001-1269 - Phone
- (504) 780-4507
- Fax
- (504) 780-4455
- NPI assigned
- Nov 2, 2012
- Last updated
- Nov 2, 2012
- 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
- Ed Nguyen
- Title
- Pharmacist
- Phone
- (504) 780-4507
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Hospital | 282NW0100X | PHY.005554-HOS | LA | Primary |
Addresses
Primary practice location
4700 S I 10 Service Rd W
Metairie, LA 70001-1269
Mailing address
4700 S I 10 Service Rd W
Metairie, LA 70001-1269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 2
The Medicare certification numbers (CCNs) connected to NPI 1780938464. Details of each certification follow.
Hospital certification: CCN 190182
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LAKESIDE HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Jun 30, 2005
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Aug 29, 1978
- Last certification
- Jan 23, 1991
- Beds
- 102
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Sep 18, 1987 (2 total)
- Facility address
- 4700 I 10 Service Road
Metairie, LA 70001
Hospital certification: CCN 194030
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- RIVER BEND HOSP
- Certification status
- Terminated Voluntary: merger or closure, Jul 31, 1992
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Sep 12, 1989
- Last certification
- Jan 3, 1992
- Beds
- 58
- Ownership / control type
- Private (for profit)
- Facility address
- 4700 S I 10 Service Rd Suite 208
Metairie, LA 70001
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351814400000",
"number": "1780938464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 S I 10 SERVICE RD W",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700011269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 S I 10 SERVICE RD W",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700011269",
"telephone_number": "504-780-4507",
"fax_number": "504-780-4455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULANE-LAKESIDE HOSPITAL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "ED",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "504-780-4507"
},
"taxonomies": [
{
"code": "282NW0100X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Women",
"state": "LA",
"license": "PHY.005554-HOS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.