1548404437 NPI number — CARMICHAEL'S PHARMACY

Table of content: (NPI 1548404437)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548404437 NPI number — CARMICHAEL'S PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARMICHAEL'S PHARMACY
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:
1548404437
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:
337-783-8996

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1472 SOUTH COLLEGE
Provider Second Line Business Practice Location Address:
SUITE 102-B
Provider Business Practice Location Address City Name:
LAFAYETTE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-234-0085
Provider Business Practice Location Address Fax Number:
337-234-8535
Provider Enumeration Date:
04/23/2009

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: 3336C0004X , with the licence number:  6046 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: 6046 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: 6046 IR , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336H0001X , with the licence number: 6046 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: 0619110002 . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6046 IR . This is a "LOUISIANA PHARMACY PERMIT" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1268119 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1929756 . This is a "NCPDP" identifier . This identifiers is of the category "OTHER".




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