BLAKES SOUTHSIDE PHARMACY PHASE II LLC – NPI #1164565933
Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
BLAKES SOUTHSIDE PHARMACY PHASE II LLC is a pharmacy located in VILLE PLATTE, LA. NPPES has assigned the NPI number 1164565933 to BLAKES SOUTHSIDE PHARMACY PHASE II LLC on February 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is BLAKES SOUTHSIDE PHARMACY INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy
The NPI profile was previously updated about 6 years ago on Sep 03, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLAKES SOUTHSIDE PHARMACY PHASE II LLC below.
NPI Profile for
BLAKES SOUTHSIDE PHARMACY PHASE II LLC
(more than 19 years ago)
VILLE PLATTE, LA 70586 Phone: (337) 363-7497 Fax: (337) 363-0473
PIC ( PHARMACIST IN CHARGE)
Phone: (337) 363-7497
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BLAKES SOUTHSIDE PHARMACY PHASE II LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | LA | 1252620 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 3336C0003X - Pharmacy / Community/Retail Pharmacy (Primary) |
||
| 183500000X - Pharmacist |
LA | 10232 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.