Pearl River RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.006460-IR Issued in LA

Legal business name

PEARL RIVER RX INC

Doing business as

Evans Drug Mart

Practice address

64288 Highway 41
Pearl River, LA 70452-3602

Phone

(985) 863-3100

Fax

(985) 863-0790

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Raphael MecheNPI 1609904309

Title

President

Phone

(337) 334-3399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evans Drug Mart Doing business as

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.

• Raphael J Meche, P.D.

  • Pharmacist
  • Rayne, LA
  • NPI 1609904309
  Authorized official Same address or phone

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1043582711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705780578",
            "telephone_number": "337-334-9979",
            "fax_number": "337-334-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64288 HIGHWAY 41",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523602",
            "telephone_number": "985-863-3100",
            "fax_number": "985-863-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL RIVER RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "MECHE",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-334-3399"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006460-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133477",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northshore Surgical Assisting
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• Terra Olivo
• Suhaskumar G Patel, R.PH
• Pearl River Pharmacy Inc.
• Chyna Pierce
• Riverbend Therapeutics
• Nathan Ryan Roberts
• Tara Ashley Rossignol
• Deanna Rose Sisti, MS,ATC, LAT

• Community/Retail Pharmacy in Pearl River, LA
• Providers in Pearl River, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.