Active NPI
Magnolia Pharmacy Services LLC
Doing business as Magnolia Pharmacy
- Long Term Care Pharmacy
- Alexandria, LA
National Provider Identifier
1033216874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 4392IR
- Legal business name
- MAGNOLIA PHARMACY SERVICES LLC
- Doing business as
- Magnolia Pharmacy
- Practice address
- 26 Heyman LN
Alexandria, LA 71303-3523 - Phone
- (318) 443-5810
- Fax
- (318) 443-6133
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Lowery
- Title
- Chief Pharmacist
- Phone
- (318) 443-5810
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | 4392IR | LA | Primary |
Addresses
Primary practice location
26 Heyman LN
Alexandria, LA 71303-3523
Mailing address
PO Box 11940
Alexandria, LA 71315-1940
Phone (318) 443-5810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1267724 | Medicaid | LA | |
| 2033509 | Other | PK |
Other names 1
- MAGNOLIA PHARMACY
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Denham Springs, LA
- NPI 1609876267
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Denham Springs, LA
- NPI 1609876267
Member Of
Locations
26 Heyman Ln
Alexandria, LA 71303
Phone (318) 443-5810
1783 Jackson St
Alexandria, LA 71301
Phone (318) 443-5810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465776000000",
"number": "1033216874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11940",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713151940",
"telephone_number": "318-443-5810",
"fax_number": "318-443-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 HEYMAN LN",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033523",
"telephone_number": "318-443-5810",
"fax_number": "318-443-6133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA PHARMACY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2016-06-13",
"status": "A",
"authorized_official_last_name": "LOWERY",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CHIEF PHARMACIST",
"authorized_official_telephone_number": "318-443-5810"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "LA",
"license": "4392IR",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1267724",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2033509",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MAGNOLIA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.