Organization Active NPI

Central Drug Store Inc

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1811176365
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3958-IR Issued in LA
Legal business name
CENTRAL DRUG STORE INC
Practice address
9952 Sullivan Rd
Baton Rouge, LA 70818-4300
Phone
(225) 262-6200
Fax
(225) 262-6578
NPI assigned
Nov 1, 2007
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Kaley W Hill
Title
Owner
Phone
(225) 262-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 3958-IR LA Primary

Addresses

Primary practice location

9952 Sullivan Rd
Baton Rouge, LA 70818-4300

Mailing address

9952 Sullivan Rd
Baton Rouge, LA 70818-4300
Phone (225) 262-6200

Other identifiers 1

IdentifierTypeStateIssuer
1265926MedicaidLA

National Provider Directory

National Provider Directory

Locations

9952 Sullivan Rd
Baton Rouge, LA 70818
Phone (225) 262-6200

Practitioners & affiliated clinicians

Practitioners 6

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1811176365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9952 SULLIVAN RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184300",
            "telephone_number": "225-262-6200",
            "fax_number": "225-262-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9952 SULLIVAN RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184300",
            "telephone_number": "225-262-6200",
            "fax_number": "225-262-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KALEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-262-6200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "3958-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265926",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.