Paulette Beninate

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

039127 003256 Issued in LA

Legal business name

PAULETTE BENINATE

Practice address

1581 Carol Sue Ave
Suite E
Gretna, LA 70056-5100

Phone

(504) 394-9037

Fax

(504) 392-0973

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Paulette M Beninate, RPH

Title

Owner/Pharmacist

Phone

(504) 394-9037

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• IV SERVICES Doing business as

Locations

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1932160686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 CAROL SUE AVE",
            "address_2": "SUITE E",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565100",
            "telephone_number": "504-394-9037",
            "fax_number": "504-392-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 CAROL SUE AVE",
            "address_2": "SUITE E",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565100",
            "telephone_number": "504-394-9037",
            "fax_number": "504-392-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTE BENINATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "BENINATE",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "504-394-9037",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "LA",
            "license": "3256-IR",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "LA",
            "license": "039127 003256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1263303",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06394/07.1",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IV SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Parker
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• Fernando Pastrana Jr., PH.D.
• Pathways to Grace Homes
• Richard William Pearl, MD
• Pediatric Clinic Westbank
• Pediatrics Kid-Med, LLC
• Lee Russell Peeples III, MD
• India Pellerin

• All providers in Gretna, LA
• Home Infusion Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.