MEDICARE: FAMILY PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHY.007088-IR	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2152012	OTHER		PK

General Provider Information

NPI Number	:	1417347980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PHARMACY LLC

Provider Business Mailing Address
First Line	:	1812 W THOMAS ST
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70401-2945
Country	:	US
Telephone Number	:	985-345-4767
Fax Number	:	985-345-4768

Provider Business Practice Location Address
First Line	:	13011 HIGHWAY 73
Second Line	:
City	:	GEISMAR
State	:	LA
Zip	:	70734-3021
Country	:	US
Telephone Number	:	225-677-5070
Fax Number	:	225-673-5060

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MICHAEL TINNERELLO
Credential	:
Telephone Number	:	985-320-5175

Provider Enumeration Date	:	02/04/2015
Last Update Date	:	03/31/2017

Similar Medicare Providers

1336347350 — DUTCHTOWN PHYSICAL THERAPY
Practice Location Address:

13053 HWY. 73 , STE. B
GEISMAR, LA
70734-3021

Practice Phone: 225-744-3631
Practice Fax: 225-744-3647

1275918401 — MR. STEPHEN JACKSON PT, DPT
Practice Location Address:

13053 HWY. 73 , STE. B
GEISMAR, LA
70734-3021

Practice Phone: 225-744-3631
Practice Fax: 225-744-3647

1679519607 — DUTCHTOWN PHARMACY L L C
Practice Location Address:

13011 HIGHWAY 73
GEISMAR, LA
70734-3021

Practice Phone: 225-677-5070
Practice Fax: 225-673-5060

1396751624 — MR. CALVIN GREGORY BESSONET III DDS
Practice Location Address:

13053 HIGHWAY 73 , STE A
GEISMAR, LA
70734-3021

Practice Phone: 225-673-6910
Practice Fax: 225-677-8906

1801104211 — MS. ANNA NGAN TRAN PHARM.D.
Practice Location Address:

13011 HIGHWAY 73
GEISMAR, LA
70734-3021

Practice Phone: 225-677-5070
Practice Fax:

1669743829 — CHRISTIE KLINGMAN
Practice Location Address:

13011 HIGHWAY 73
GEISMAR, LA
70734-3021

Practice Phone: 225-677-5070
Practice Fax:

Directions to “FAMILY PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.