Elba Medical Dist Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

4360IR Issued in LA

Legal business name

ELBA MEDICAL DIST INC

Practice address

5204 Veterans Blvd
Metairie, LA 70006

Phone

(504) 889-9654

Fax

(504) 889-6635

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Daisy G. Dimaggio, RPH

Title

Vice President Director of Operatio

Phone

(504) 780-8455

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1831276948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 VETERANS MEMORIAL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065123",
            "telephone_number": "504-889-7070",
            "fax_number": "504-889-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 VETERANS BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-889-9654",
            "fax_number": "504-889-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBA MEDICAL DIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "DIMAGGIO",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "VICE PRESIDENT DIRECTOR OF OPERATIO",
        "authorized_official_telephone_number": "504-780-8455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "4360IR",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "19-29629",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234222",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold L Ehrenberg, D.C.
• Thorkell Einarsson, MD
• John William Eiser, DO
• Clayton Clement Eiswirth, MD
• Brian Kenneth Eitelmann
• Elba Medical Distributors Inc
• Terri Dawn Elder
• Isabella Elias
• Elite Behavioral Health Service, LLC
• Elite Medical Nola

• Long Term Care Pharmacy in Metairie, LA
• Providers in Metairie, LA by specialty
• Long Term Care Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.