NPIMap

Organization Active NPI

Odyssey House Louisiana, Inc

  • Community/Retail Pharmacy
  • New Orleans, LA
National Provider Identifier
1790352367
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ODYSSEY HOUSE LOUISIANA, INC
Practice address
2700 S Broad St Ste a
New Orleans, LA 70125-1953
Phone
(504) 384-2687
Fax
(504) 269-3522
NPI assigned
Jun 10, 2021
Organization subpart
Yes
Parent organization
ODYSSEY HOUSE LOUISIANA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Amy Briggs Bosworth
Title
Program Director
Phone
(504) 821-9211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2700 S Broad St Ste a
New Orleans, LA 70125-1953

Mailing address

PO Box 19576
New Orleans, LA 70179-0576
Phone (504) 384-2687

Other names 1

  • Odyssey House Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Odyssey House Louisiana Inc14 organizations share this tax ID, including this one
Part of
Odyssey House Louisiana Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

2700 S Broad St
Ste A
New Orleans, LA 70125
Phone (504) 384-2687

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1790352367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19576",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701790576",
            "telephone_number": "504-384-2687",
            "fax_number": "504-269-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S BROAD ST STE A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251953",
            "telephone_number": "504-384-2687",
            "fax_number": "504-269-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOUSE LOUISIANA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ODYSSEY HOUSE LOUISIANA, INC",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "BOSWORTH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BRIGGS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "504-821-9211"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey House Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 2021; 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.