Organization Active NPI

Nola Discount Pharmacy LLC

Doing business as NOLA Discount Pharmacy

  • Community/Retail Pharmacy
  • Metairie, LA
National Provider Identifier
1881954089
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.006518-IR Issued in LA
Legal business name
NOLA DISCOUNT PHARMACY LLC
Doing business as
NOLA Discount Pharmacy
Practice address
4305 Clearview Pkwy Ste B
Metairie, LA 70006-2762
Phone
(504) 888-9411
Fax
(504) 888-9410
NPI assigned
May 22, 2012
Reactivated
Mar 18, 2019
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Mr. Zachary Cole Duncan
Title
Owner/Manager
Phone
(504) 473-3714

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.006518-IR LA Primary

Addresses

Primary practice location

4305 Clearview Pkwy Ste B
Metairie, LA 70006-2762

Mailing address

4305 Clearview Pkwy Ste B
Metairie, LA 70006-2762
Phone (504) 888-9411

Other identifiers 2

IdentifierTypeStateIssuer
2201492MedicaidLA
2135280OtherPK

Other names 1

  • NOLA Discount 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
O20121019000284 LA Part B Supplier - Pharmacy 4082864459 Practice locations: Metairie, LA
O20210622002601 LA Part B Supplier - Independent Clinical Laboratory 4082864459 Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

4305 Clearview Pkwy
Ste B
Metairie, LA 70006
Phone (504) 888-9411

4305 Clearview Pkwy
Metairie, LA 70006
Phone (504) 888-9411

Practitioners & affiliated clinicians

Practitioners 3

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": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1881954089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 CLEARVIEW PKWY STE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062762",
            "telephone_number": "504-888-9411",
            "fax_number": "504-888-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 CLEARVIEW PKWY STE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062762",
            "telephone_number": "504-888-9411",
            "fax_number": "504-888-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "deactivation_date": "2019-03-12",
        "reactivation_date": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "504-473-3714",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006518-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201492",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOLA Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOLA Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.