Gulf States Health Partners LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.007095-IR Issued in LA

Legal business name

GULF STATES HEALTH PARTNERS LLC

Doing business as

RX 2 Geaux

Practice address

7855 Howell Blvd Ste 160
Baton Rouge, LA 70807-5257

Phone

(855) 360-1446

Fax

(888) 489-3558

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Nizar Alikhan

Title

Credentialing Contact,Ao

Phone

(215) 888-8099

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RX 2 GEAUX Doing business as

Locations

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1801209051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 LBJ FWY",
            "address_2": "SUITE 325",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406324",
            "telephone_number": "214-888-8099",
            "fax_number": "214-261-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD STE 160",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075257",
            "telephone_number": "855-360-1446",
            "fax_number": "888-489-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF STATES HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "ALIKHAN",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_title_or_position": "CREDENTIALING CONTACT,AO",
        "authorized_official_telephone_number": "215-888-8099"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007095-IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX 2 GEAUX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gulf Coast Teaching Family Services, Inc. (Gulf Coast Social Services)
• Gulf South Animated Motion Technologies
• Gulf South BR - ABA, LLC
• Gulf South Primary Care
• Gulf State Interprise (HealthY FAMILY INC)
• Carley Gulino
• Staci S. Gulino, MSN, APRN-BC, PMHNP
• Thomas Ryan Gullatt, MD
• John Cullen Gulotta, M.D.
• Subhakar Gummadi, MD

• Community/Retail Pharmacy in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.