Provider Demographics
NPI:1689748303
Name:COMMUNITY OXYGEN SERVICE, LLC
Entity Type:Organization
Organization Name:COMMUNITY OXYGEN SERVICE, LLC
Other - Org Name:COMMUNITY PHARMACY SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAVANAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-894-9729
Mailing Address - Street 1:3600 CHESTNUT ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-894-9729
Mailing Address - Fax:504-620-1097
Practice Address - Street 1:3600 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3615
Practice Address - Country:US
Practice Address - Phone:504-894-9729
Practice Address - Fax:504-620-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5087333600000X, 3336C0003X, 3336H0001X, 3336I0012X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy