NPIMap

Organization Active NPI

Goux Pharmacy LLC

Doing business as Goux Pharmacy

  • Community/Retail Pharmacy
  • Marksville, LA
National Provider Identifier
1033261029
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4805 Issued in LA
Legal business name
GOUX PHARMACY LLC
Doing business as
Goux Pharmacy
Practice address
599 Tunica Drive West
Marksville, LA 71351
Phone
(318) 240-9866
Fax
(318) 240-8849
NPI assigned
Jan 18, 2007
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kinman GouxNPI 1164577375
Title
PHRM Owner
Phone
(318) 240-9866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 4805 LA Primary

Addresses

Primary practice location

599 Tunica Drive West
Marksville, LA 71351

Mailing address

599 Tunica Dr W
Marksville, LA 71351-2628
Phone (318) 240-9866

Other identifiers 2

IdentifierTypeStateIssuer
1930519OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1269255MedicaidLA

Other names 1

  • GOUX PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1033261029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 TUNICA DR W",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512628",
            "telephone_number": "318-240-9866",
            "fax_number": "318-240-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 TUNICA DRIVE WEST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "71351",
            "telephone_number": "318-240-9866",
            "fax_number": "318-240-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "GOUX",
        "authorized_official_first_name": "KINMAN",
        "authorized_official_title_or_position": "PHRM OWNER",
        "authorized_official_telephone_number": "318-240-9866"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "4805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1930519",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269255",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOUX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.