Organization Active NPI

Icare Pharmacy Verot School Rd LLC

  • Community/Retail Pharmacy
  • Lafayette, LA
National Provider Identifier
1932587813
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7161 Issued in LA
Legal business name
ICARE PHARMACY VEROT SCHOOL RD LLC
Doing business as
iCARE Pharmacy Verot School Rd LLC
Practice address
626 Verot School Rd
Suite F
Lafayette, LA 70508-5094
Phone
(337) 806-8395
NPI assigned
May 12, 2015
Last updated
Aug 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Jolie Veillon
Title
Owner/Manager
Phone
(337) 806-9835

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 7161 LA Primary
Specialty Pharmacy 3336S0011X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

626 Verot School Rd
Suite F
Lafayette, LA 70508-5094

Mailing address

104 Darwin Cir
Lafayette, LA 70508-7110
Phone (337) 806-9385

Other identifiers 1

IdentifierTypeStateIssuer
2151911OtherPK

Other names 1

  • iCARE Pharmacy Verot School Rd LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1932587813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DARWIN CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087110",
            "telephone_number": "337-806-9385",
            "fax_number": "337-806-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 VEROT SCHOOL RD",
            "address_2": "SUITE F",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085094",
            "telephone_number": "337-806-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE PHARMACY VEROT SCHOOL RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "VEILLON",
        "authorized_official_first_name": "JOLIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "337-806-9835"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "7161",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iCARE Pharmacy Verot School Rd LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.