NPIMap

Organization Active NPI

CVS/ Pharmacy

  • Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1851792824
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PST.020613 Issued in LA
Legal business name
CVS/ PHARMACY
Practice address
2000 Ryan St
Lake Charles, LA 70601-7314
Phone
(337) 439-4241
Fax
(337) 439-4186
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Breanna Newton
Title
Pharmacy Supervisor
Phone
(337) 377-7213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PST.020613 LA Primary

Addresses

Primary practice location

2000 Ryan St
Lake Charles, LA 70601-7314

Mailing address

2000 Ryan St
Lake Charles, LA 70601-7314
Phone (337) 439-4241

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1851792824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017314",
            "telephone_number": "337-439-4241",
            "fax_number": "337-439-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017314",
            "telephone_number": "337-439-4241",
            "fax_number": "337-439-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS/ PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "337-377-7213"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "PST.020613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.