Healthcare Provider Details

I. General information

NPI: 1558291682
Provider Name (Legal Business Name): AIDS HEALTHCARE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 MAGAZINE ST
NEW ORLEANS LA
70115-2231
US

IV. Provider business mailing address

879 W 190TH ST STE 1020
GARDENA CA
90248-4255
US

V. Phone/Fax

Practice location:
  • Phone: 504-208-2500
  • Fax: 800-866-8209
Mailing address:
  • Phone: 310-999-6089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SCOTT CARRUTHERS
Title or Position: CHIEF OF PHARMACY
Credential:
Phone: 323-860-5200