Organization Active NPI

Mitchell's Compounding Pharmacy

  • Community/Retail Pharmacy
  • Ruston, LA
National Provider Identifier
1144471848
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5337 Issued in LA
Legal business name
MITCHELL'S COMPOUNDING PHARMACY
Practice address
109 N Trenton St
#2
Ruston, LA 71270-4321
Phone
(318) 255-8106
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Mrs. Gay Mitchell
Title
Owner/President
Phone
(318) 255-8106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5337 LA Primary

Addresses

Primary practice location

109 N Trenton St
#2
Ruston, LA 71270-4321

Mailing address

109 N Trenton St
#2
Ruston, LA 71270-4321
Phone (318) 255-8106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1144471848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N TRENTON ST",
            "address_2": "#2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704321",
            "telephone_number": "318-255-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N TRENTON ST",
            "address_2": "#2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704321",
            "telephone_number": "318-255-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL'S COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "GAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "318-255-8106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "5337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.