Organization Active NPI

Parkway Pharmacy LLC

Doing business as Parkway Pharmacy

  • Long Term Care Pharmacy
  • Sterlington, LA
National Provider Identifier
1790484723
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PARKWAY PHARMACY LLC
Doing business as
Parkway Pharmacy
Practice address
10374 Highway 165 N Ste C
Sterlington, LA 71280-3369
Phone
(318) 812-2305
Fax
(318) 665-0092
NPI assigned
Feb 28, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Lateef OdeyemiNPI 1720506983
Title
Owner
Phone
(318) 812-2305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10374 Highway 165 N Ste C
Sterlington, LA 71280-3369

Mailing address

10374 Highway 165 N Ste C
Sterlington, LA 71280-3369
Phone (318) 812-2305

Other identifiers 1

IdentifierTypeStateIssuer
22072425MedicaidLA

Other names 1

  • Parkway Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1790484723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10374 HIGHWAY 165 N STE C",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "712803369",
            "telephone_number": "318-812-2305",
            "fax_number": "318-665-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10374 HIGHWAY 165 N STE C",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "712803369",
            "telephone_number": "318-812-2305",
            "fax_number": "318-665-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "ODEYEMI",
        "authorized_official_first_name": "LATEEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-812-2305"
    },
    "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": "22072425",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterlington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.