NPIMap

Organization Active NPI

Southeast Community Health Systems Pharmacy Kentwood

  • Pharmacy
  • Kentwood, LA
National Provider Identifier
1962042028
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SOUTHEAST COMMUNITY HEALTH SYSTEMS PHARMACY KENTWOOD
Practice address
721 Avenue G
Kentwood, LA 70444-2601
Phone
(225) 306-2023
Fax
(855) 842-4231
NPI assigned
Jan 7, 2020
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEAST COMMUNITY HEALTH SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Dr. Alecia Cyprian, PHD
Title
Ceo
Phone
(225) 306-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

721 Avenue G
Kentwood, LA 70444-2601

Mailing address

PO Box 770
Zachary, LA 70791-0770
Phone (225) 306-2000

National Provider Directory

National Provider Directory
Tax ID family
SE Community Health Systems37 organizations share this tax ID, including this one
Part of
SE Community Health Systems

Other organizations with this tax ID 36

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

View all 36

Locations

734 Avenue G
Kentwood, LA 70444

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1962042028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707910770",
            "telephone_number": "225-306-2000",
            "fax_number": "225-658-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 AVENUE G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442601",
            "telephone_number": "225-306-2023",
            "fax_number": "855-842-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST COMMUNITY HEALTH SYSTEMS PHARMACY KENTWOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST COMMUNITY HEALTH SYSTEMS",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "CYPRIAN",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-306-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.