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Pontchartrain Pharmacy, LLC

Pontchartrain Pharmacy, LLC is a healthcare organization registered as Long Term Care Pharmacy in Mandeville, LA, holding Type 2 (organization) NPI 1134116742 since 2005. The authorized official on file is Mary Lynn Leach, Chief Financial Officer.

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NPI 1134116742
Entity type Organization (Type 2)
Legal business name Pontchartrain Pharmacy, LLC
Practice address 2045 HIGHWAY 59, Mandeville, LA, 70448
Phone 9856269726
Fax 9856267919
Enumeration date 2005-09-29
Last updated in NPPES 2021-03-16

Authorized official

Name Mary Lynn Leach
Title Chief Financial Officer
Phone 9856261900

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336L0003X Long Term Care Pharmacy Primary 1270-IR LA

Other identifiers

Identifier Type State Issuer
1234460 Medicaid LA
Copy-ready billing details
Provider: Pontchartrain Pharmacy, LLC
NPI: 1134116742
Taxonomy: 3336L0003X (Long Term Care Pharmacy)
Address: 2045 HIGHWAY 59, Mandeville, LA, 70448

Providers at this address

NPI Name Type Specialty Location
1730391178 K Brantley Individual Geriatric Pharmacist Mandeville, LA
1275746919 Constance Mahady Individual Pharmacist Mandeville, LA
1558574269 Deborah Thompson Individual Pharmacist Mandeville, LA
1568675312 Bobbie Schulingkamp Individual Pharmacist Mandeville, LA
1841404597 Jill Nicoll Individual Pharmacist Mandeville, LA
1689123259 Rodney Krumm Individual Pharmacist Mandeville, LA
1235710872 Jussara Guimaraes Individual Pharmacist Mandeville, LA

Verify this record

Cross-check NPI 1134116742 against the authoritative CMS record: view Pontchartrain Pharmacy, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pontchartrain Pharmacy, LLC?
Pontchartrain Pharmacy, LLC is registered in NPPES as a Long Term Care Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-03-16.