NPIMap

Organization Active NPI

Washington St. Tammany Regional Medical Center

  • Pharmacy
  • Bogalusa, LA
National Provider Identifier
1801801436
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5550-IR Issued in LA
Legal business name
WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER
Practice address
400 Memphis Street
Bogalusa, LA 70427
Phone
(985) 730-2208
Fax
(985) 730-2209
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Mrs. Brooke Wascom Cummings
Title
Chief Financial Officer
Phone
(985) 730-2208

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5550IR LA
Pharmacy 333600000X 5550-IR LA Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

400 Memphis Street
Bogalusa, LA 70427

Mailing address

433 Plaza Street
Bogalusa, LA 70427
Phone (985) 730-2208

Other identifiers 1

IdentifierTypeStateIssuer
1932816OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Outpatient Procurement Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Wash-St Tammany Reg Medical6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

8200 Constantin Blvd
Fl 4
Baton Rouge, LA 70809

106 Avenue B
Ste A
Bogalusa, LA 70427

433 Plaza St
Ste 3A
Bogalusa, LA 70427
Phone (985) 730-6970

433 Plaza St
Ste 2A
Bogalusa, LA 70427
Phone (985) 730-7020

433 Plaza St
Ste 3
Bogalusa, LA 70427

433 Plaza St
Ste 1A
Bogalusa, LA 70427
Phone (985) 730-6970

433 Plaza St
Ste 3B
Bogalusa, LA 70427

433 Plaza St
#1
Bogalusa, LA 70427

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1801801436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PLAZA STREET",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-730-2208",
            "fax_number": "985-730-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEMPHIS STREET",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-730-2208",
            "fax_number": "985-730-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON ST. TAMMANY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "WASCOM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "985-730-2208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "5550IR",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "5550-IR",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1932816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Procurement Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.