Organization Active NPI

Magnolia Pharmacy Services LLC

Doing business as Magnolia Pharmacy

  • Long Term Care Pharmacy
  • Alexandria, LA
National Provider Identifier
1033216874
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
4392IR Issued in LA
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

Updated by the provider on Jun 13, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1267724MedicaidLA
2033509OtherPK

Other names 1

  • MAGNOLIA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

Verify at the official NPI Registry.