Active NPI
Parkway Pharmacy LLC
Doing business as Parkway Pharmacy
- Long Term Care Pharmacy
- Sterlington, LA
National Provider Identifier
1790484723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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, 2023
- 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
- Lateef Odeyemi
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22072425 | Medicaid | LA |
Other names 1
- Parkway Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Sterlington, LA
- NPI 1720506983
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.