1942354287 NPI number — CARMICHAEL'S CASHWAY PHARMACY, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942354287 NPI number — CARMICHAEL'S CASHWAY PHARMACY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARMICHAEL'S CASHWAY PHARMACY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942354287
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1002 N PARKERSON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CROWLEY
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70526-3613
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-783-7200
Provider Business Mailing Address Fax Number:
337-788-0170

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1004 N PARKERSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CROWLEY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-785-3102
Provider Business Practice Location Address Fax Number:
337-785-3109
Provider Enumeration Date:
01/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BARRON
Authorized Official First Name:
ANGEL
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
337-785-3182

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  PHY.006015-IR , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336I0012X , with the licence number: PHY.006015-IR , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336L0003X , with the licence number: PHY.006015-IR , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PHY.006015-IR . This is a "PHARMACY PERMIT" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1234745 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1932501 . This is a "NCPDP PROVIDER NUMBER" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: CDS.039198-PHY . This is a "CDC LICENSE" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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