Healthcare Provider Details

I. General information

NPI: 1801395108
Provider Name (Legal Business Name): PHARMDREADY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 OAK CREEK RD APT 237
RIVER RIDGE LA
70123-5870
US

IV. Provider business mailing address

1921 OAK CREEK RD APT 237
RIVER RIDGE LA
70123-5870
US

V. Phone/Fax

Practice location:
  • Phone: 504-782-3674
  • Fax: 504-324-0459
Mailing address:
  • Phone: 504-782-3674
  • Fax: 504-324-0459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPST.18596
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPST.18596
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPST.185596
License Number StateLA

VIII. Authorized Official

Name: DR. TRAVIS BATISTE
Title or Position: CEO/PHARMACIST
Credential: PHARMD
Phone: 504-782-3674