Northshore Discount Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3721IR Issued in LA

Legal business name

NORTHSHORE DISCOUNT PHARMACY INC

Doing business as

NORTHSHORE DISCOUNT PHARMACY

Practice address

680 Robert Blvd
Slidell, LA 70458-1648

Phone

(985) 641-5585

Fax

(985) 641-2314

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Gregory Wendling

Title

President

Phone

(601) 403-8662

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• NORTHSHORE DISCOUNT PHARMACY Doing business as

Tax ID family

Northshore Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northshore Discount Pharmacy, Inc

  • Community/Retail Pharmacy
  • Slidell, LA
  • NPI 1962536458
  NPD tax ID

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1952452930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUN VALLEY ACRES",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394706269",
            "telephone_number": "601-403-8662",
            "fax_number": "601-795-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581648",
            "telephone_number": "985-641-5585",
            "fax_number": "985-641-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "WENDLING",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-403-8662"
    },
    "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": "3721IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1264598",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1927586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHSHORE DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Slidell, LA
• Providers in Slidell, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.