Healthcare Provider Details

I. General information

NPI: 1013914217
Provider Name (Legal Business Name): ELITE PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10017 JEFFERSON HWY SUITE 101
RIVER RIDGE LA
70123-2471
US

IV. Provider business mailing address

10017 JEFFERSON HWY SUITE 101
RIVER RIDGE LA
70123-2471
US

V. Phone/Fax

Practice location:
  • Phone: 504-737-2212
  • Fax: 504-737-2272
Mailing address:
  • Phone: 504-737-2212
  • Fax: 504-737-2272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5472-IR
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number5472-IR
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number5472-IR
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number5472-IR
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5472-IR
License Number StateLA

VIII. Authorized Official

Name: MR. AMAURY J. ALBERTO
Title or Position: PRESIDENT
Credential:
Phone: 504-737-2212