Island Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

507-IR Issued in LA

Legal business name

ISLAND PHARMACY

Practice address

311 Chisum St
Sicily Island, LA 71368-4807

Phone

(318) 389-5807

Fax

(318) 389-5842

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

A G Bird, PHARMACIST

Title

Owner

Phone

(318) 389-5807

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Island Institutional Pharmacy

  • Institutional Pharmacy
  • Sicily Island, LA
  • NPI 1033268750
  NPD tax ID

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063481752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CHISUM ST",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713684807",
            "telephone_number": "318-389-5807",
            "fax_number": "318-389-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CHISUM ST",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713684807",
            "telephone_number": "318-389-5807",
            "fax_number": "318-389-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-389-5807",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "507-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1221741",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deep South Medical Supply, LLC
• Summer Leigh Greer, NP-C
• Frances Hester, DR
• Island Drug and Wellness, LLC
• Island Institutional Pharmacy
• John Bird (Island Medical Supply)
• John Bird (Island Pharmacy)
• Hershel Dale Meade, MD
• Virginia Leah Murry
• Pharmacy Consultants (Island Pharmacy)

• Pharmacist in Sicily Island, LA
• Providers in Sicily Island, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.