MEDICARE: CARMICHAEL'S CASHWAY PHARMACY, INC.

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	332BN1400X	Nursing Facility Supplies (DME)	0619110005	LA
2	332BX2000X	Oxygen Equipment & Supplies (DME)	0619110005	LA
3	332B00000X	Durable Medical Equipment & Medical Supplies	0619110005	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	DME.000724	OTHER	LA	DME PERMIT

General Provider Information

NPI Number	:	1386031235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARMICHAEL'S CASHWAY PHARMACY, INC.

Provider Business Mailing Address
First Line	:	1002 N PARKERSON AVE
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70526-3613
Country	:	US
Telephone Number	:	337-783-7200
Fax Number	:	337-783-8996

Provider Business Practice Location Address
First Line	:	4809 AMBASSADOR CAFFERY PKWY
Second Line	:	SUITE 220
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-8800
Country	:	US
Telephone Number	:	337-412-6205
Fax Number	:	337-456-4504

Authorized Official
Title or Position	:	CFO
Name	:	MRS. ANGEL BARRON
Credential	:	CPA, CGMA
Telephone Number	:	337-785-3182

Provider Enumeration Date	:	04/17/2015
Last Update Date	:	02/07/2024

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