NPI |
1730634049 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
2 |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Employer Identification Number EIN |
|
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot
include a Post Office box. |
Provider Organization Name Legal Business Name |
SOCIETY OF ST. VINCENT DEPAUL, ARCHDIOCESAN COUNSIL OF NEW ORLEANS |
The city name in the location address of the provider being identified. |
Provider Other Organization Name |
ST. VINCENT DEPAUL COMMUNITY PHARMACY |
The State code in the location of the provider
being identified. |
Provider Other Organization Name Type Code |
3 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider First Line Business Practice Location Address |
1995 GENTILLY BLVD STE C18 |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address City Name |
NEW ORLEANS |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
LA |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Postal Code |
701191700 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
5049405031 |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number |
5049405440 |
The fax number associated with the location
address of the provider being identified. |
Provider Enumeration Date |
8/17/2016 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
8/17/2016 |
The date that a record was last updated or changed. |
Authorized Official Last Name |
RAYFIELD |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
Authorized Official First Name |
RUDOLPH |
The first name of the authorized official. |
Authorized Official Title or Position |
EXECUTIVE DIRECTOR |
The title or position of the authorized official. |
Authorized Official Telephone Number |
5049405031 |
The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code 1 |
251V00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Provider License Number 1 |
PHY-003950 CH |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
Provider License Number State Code 1 |
LA |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Organization Subpart |
N |
|
Authorized Official Name Suffix Text |
SR. |
|