Northshore Discount Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3721 Issued in LA

Legal business name

NORTHSHORE DISCOUNT PHARMACY, INC

Practice address

680 Robert Blvd
Slidell, LA 70458-1648

Phone

(985) 641-5585

Fax

(985) 641-2314

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Jon Wendling, R.PH.

Title

Owner

Phone

(985) 641-5585

Specialties & licenses 1

Addresses

Other identifiers 1

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 1952452930
  NPD tax ID

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962536458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENDLING",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-641-5585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "3721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1264598",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc.
• Northshore Audiology, LLC
• Northshore Cardiovascular Associates LLC
• Northshore Cardiovascular Associates LLC
• Northshore Discount Pharmacy Inc
• Northshore Eye Clinic
• Northshore Family Counseling, LLC
• Northshore Family Counseling, LLC
• Northshore Family Med. Ctr
• Northshore Hospitalists, LLC

• 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 Aug 22, 2020; 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.