Organization Active NPI

Tersco LLC

  • Community/Retail Pharmacy
  • New Orleans, LA
National Provider Identifier
1871599498
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5088IR Issued in LA
Legal business name
TERSCO LLC
Practice address
8232 Oak St
New Orleans, LA 70118-2042
Phone
(504) 866-3784
Fax
(504) 866-9893
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Scott Beninato, RPHNPI 1558764621
Title
Owner
Phone
(504) 866-3784

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5088IR LA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

8232 Oak St
New Orleans, LA 70118-2042

Mailing address

8232 Oak St
New Orleans, LA 70118-2042
Phone (504) 866-3784

Other identifiers 2

IdentifierTypeStateIssuer
2032490OtherPK
1270911MedicaidLA

Other names 1

  • CASTELLON PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050825000009 LA Part B Supplier - Mass Immunization (Roster Biller Only) 7012948557 Practice locations: New Orleans, LA
O20121211000377 LA DME Supplier - Pharmacy 7012948557 Practice locations: New Orleans, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2136908Castellon Pharmacy8232 Oak Street, New Orleans, LA 70118Certificate of waiverSep 17, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Castellon Pharmacy8232 Oak St, New Orleans, LA 70118-2042(504) 866-3784 Nebulizer Drugs Does not accept assignmentParticipating since Sep 12, 2012

National Provider Directory

National Provider Directory

Locations

8232 Oak St
New Orleans, LA 70118
Phone (504) 866-3784

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1871599498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8232 OAK ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701182042",
            "telephone_number": "504-866-3784",
            "fax_number": "504-866-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8232 OAK ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701182042",
            "telephone_number": "504-866-3784",
            "fax_number": "504-866-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERSCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "BENINATO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-866-3784",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "5088IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032490",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1270911",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASTELLON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.