NPIMap

Organization Active NPI

Towne Pharmacy LLC

  • Community/Retail Pharmacy
  • Broussard, LA
National Provider Identifier
1821081050
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
006633 Issued in LA
Legal business name
TOWNE PHARMACY LLC
Practice address
103 E Main St
Broussard, LA 70518-4616
Phone
(337) 839-8880
Fax
(337) 839-8881
NPI assigned
Aug 23, 2005
Last updated
Jun 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Authorized official

Name
Mr. Ivan Joe Landry, PHARM.D.NPI 1376954750
Title
Owner/Pharmacist
Phone
(337) 839-8880

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
Community/Retail Pharmacy 3336C0003X 006633 LA Primary

Addresses

Primary practice location

103 E Main St
Broussard, LA 70518-4616

Mailing address

103 E Main St
Broussard, LA 70518-4616
Phone (337) 839-8880

Other identifiers 1

IdentifierTypeStateIssuer
2202154MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1821081050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184616",
            "telephone_number": "337-839-8880",
            "fax_number": "337-839-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184616",
            "telephone_number": "337-839-8880",
            "fax_number": "337-839-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "337-839-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "006633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202154",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.