Southern Pharmacy Services

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTHERN PHARMACY SERVICES

Practice address

704 N Parkerson Ave
Crowley, LA 70526-4355

Phone

(337) 783-9084

Fax

(337) 783-9085

NPI assigned

Jul 2, 2009

Organization subpart

No

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

Authorized official

Name

Brandy FreedNPI 1689982902

Title

Owner/Pharmacist

Phone

(337) 783-9084

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandy Freed, R.PH.

  • Pharmacist
  • Crowley, LA
  • NPI 1689982902
  NPD Authorized official
• Patience Bergeron, PHARMD.

  • Pharmacist
  • Rayne, LA
  • NPI 1396390613
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1073742722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N PARKERSON AVE",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264355",
            "telephone_number": "337-783-9084",
            "fax_number": "337-783-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N PARKERSON AVE",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264355",
            "telephone_number": "337-783-9084",
            "fax_number": "337-783-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "337-783-9084"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "6171",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "LA",
            "license": "6171",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "6171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235253",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5DK78",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrain M Smith
• Alainae Smith, MA, LPC
• Marcia Smith, PMHNP-BC
• Anita Louise Solet, ARNP
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• Southwest Louisiana Renal Services LLC
• Spine, Sports, & Rehab Chiropractic Care

• Community/Retail Pharmacy in Crowley, LA
• Providers in Crowley, 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 Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.