P & C Healthcare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3117IR Issued in LA

Legal business name

P & C HEALTHCARE LLC

Practice address

40017 Highway 42
Suite D
Prairieville, LA 70769-5240

Phone

(225) 622-4817

Fax

(225) 622-5229

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric Anthony Peters, PHARM.D.

Title

Owner

Phone

(225) 622-4817

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• GALVEZ TOWN PHARMACY Doing business as
• Lagniappe Pharmacy 4 Doing business as

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1912001348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40017 HIGHWAY 42",
            "address_2": "SUITE D",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695240",
            "telephone_number": "225-622-4817",
            "fax_number": "225-622-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40017 HIGHWAY 42",
            "address_2": "SUITE D",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695240",
            "telephone_number": "225-622-4817",
            "fax_number": "225-622-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & C HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-622-4817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "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": "3117IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1262501",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALVEZ TOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lagniappe Pharmacy 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.