Landry Colham LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.006422 Issued in LA

Legal business name

LANDRY COLHAM LLC

Practice address

243 N Acadian Thruway Ste 1
Baton Rouge, LA 70806-3772

Phone

(225) 332-0511

Fax

(225) 332-5811

NPI assigned

Sep 23, 2011

Organization subpart

No

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

Authorized official

Name

Brent Landry

Title

Owner/Pic/Ao

Phone

(225) 332-0511

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Brent's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1942583166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 N ACADIAN THRUWAY STE 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063772",
            "telephone_number": "225-332-0511",
            "fax_number": "225-332-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 N ACADIAN THRUWAY STE 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063772",
            "telephone_number": "225-332-0511",
            "fax_number": "225-332-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRY COLHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/PIC/AO",
        "authorized_official_telephone_number": "225-332-0511"
    },
    "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.006422",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200950",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Landmark Heritage LLC
• Amy Culpepper Landreneau
• Capi Landreneau, LCSW
• Gabriel Landreneau, CRNA
• Joycelyn Landrum-Johnson, RN, BSN, MSN
• Adrian P. Landry, MD
• Alexis Landry
• Alison Landry, RPH
• Allison Inzerella Landry, DDS
• Angele Landry, LPC

• All providers in Baton Rouge, LA
• Community/Retail Pharmacy in Louisiana

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