NPIMap

Organization Active NPI

Island Institutional Pharmacy

  • Institutional Pharmacy
  • Sicily Island, LA
National Provider Identifier
1033268750
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
5055-IR Issued in LA
Legal business name
ISLAND INSTITUTIONAL PHARMACY
Doing business as
island institutional pharmacy
Practice address
313 Chisum Street
Pob 38
Sicily Island, LA 71368-0038
Phone
(318) 389-5807
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. A Girault Bird, PHARMACIST
Title
Owner
Phone
(318) 389-5807

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 9223 LA
Institutional Pharmacy 3336I0012X 5055-IR LA Primary

Addresses

Primary practice location

313 Chisum Street
Pob 38
Sicily Island, LA 71368-0038

Mailing address

313 Chisum Street
Island Institutional Pharmacy, Pob 38
Sicily Island, LA 71368-0038
Phone (318) 389-5807

Other identifiers 1

IdentifierTypeStateIssuer
1269891MedicaidLA

Other names 1

  • island institutional pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Island Institutional Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1033268750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CHISUM STREET",
            "address_2": "ISLAND INSTITUTIONAL PHARMACY, POB 38",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713680038",
            "telephone_number": "318-389-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 CHISUM STREET",
            "address_2": "POB 38",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713680038",
            "telephone_number": "318-389-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND INSTITUTIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "GIRAULT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-389-5807",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "9223",
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "LA",
            "license": "5055-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269891",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "island institutional pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sicily Island, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.