Medicine Shoppe of Greater BR Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2414IR Issued in LA

Legal business name

MEDICINE SHOPPE OF GREATER BR INC

Practice address

1817 S Burnside Ave
Gonzales, LA 70737-4429

Phone

(225) 644-3030

Fax

(225) 647-2706

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Steve Harris, RPH

Title

Pharmacist

Phone

(225) 644-3030

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

Practitioners 1

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

• Joseph Steven Harris, BSPHARM

  • Pharmacist
  • Gonzales, LA
  • NPI 1114228103
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124190913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 S BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374429",
            "telephone_number": "224-644-3030",
            "fax_number": "225-647-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 S BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374429",
            "telephone_number": "225-644-3030",
            "fax_number": "225-647-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE OF GREATER BR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "225-644-3030",
        "authorized_official_credential": "RPH"
    },
    "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": "2414IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1259659",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1923944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medcare LLC
• Medical Management Enterprises
• Medical Management Enterprises
• Medical Management Enterprises Inc
• Medical Management Enterprises Inc
• Archibald Louis Melcher IV, DDS
• Allison Day Menard, R.PH.
• Shonathan Edward Merricks, FNP-BC
• Lance Joseph Miguez, LPC
• Josten Nishan Milan

• Community/Retail Pharmacy in Gonzales, LA
• Providers in Gonzales, 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 Mar 7, 2023; 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.