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COLISTICS INC NPI 1023474889


NPI Information

NPI: 1023474889
Provider Name: COLISTICS INC

Doing Business As: COLISTICS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 19D2182752

Address:
3361 GENERAL DEGAULLE DR STE A
NEW ORLEANS, LA
ZIP 70114
Phone: (504) 361-5650
Get Directions

COLISTICS INC is a pharmacy in New Orleans, LA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. COLISTICS INC NPI is 1023474889. The provider is registered as an organization entity type.
The provider Is Doing Business As Colistics Pharmacy.

The provider's business location address is:

3361 GENERAL DEGAULLE DR STE A
NEW ORLEANS, LA
ZIP 70114-701
Phone: (504) 361-5650
Fax: (504) 361-5734

The provider's authorized official is Cory James .
The authorized official title is Owner and has the following contact phone number (504) 875-9680.

The CLIA number assigned to this NPI record is 19D2182752 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 1/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332100000XDepartment of Veterans Affairs (VA) PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
43336C0003XPharmacyCommunity/Retail PharmacyNo
53336C0004XPharmacyCompounding PharmacyNo
63336L0003XPharmacyLong Term Care PharmacyNo
73336M0002XPharmacyMail Order PharmacyNo
83336S0011XPharmacySpecialty PharmacyNo
9333600000XPharmacyPHY.007235-IRLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12157386OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.