NPIMap

Organization Active NPI

Lallie Kemp Medical Ctr

Doing business as Lallie Kemp Outpatient Pharmacy

  • Clinic Pharmacy
  • Independence, LA
National Provider Identifier
1154543767
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHY004495IRX Issued in LA
Legal business name
LALLIE KEMP MEDICAL CTR
Doing business as
Lallie Kemp Outpatient Pharmacy
Practice address
52579 Highway 51 S
Independence, LA 70443-2231
Phone
(985) 878-1317
Fax
(985) 878-1548
NPI assigned
May 3, 2007
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Todd Fricker, RPHNPI 1922253988
Title
Pharmacy Director
Phone
(985) 878-1280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHY004495IRX LA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

52579 Highway 51 S
Independence, LA 70443-2231

Mailing address

52579 Highway 51 S
Independence, LA 70443-2231
Phone (985) 878-1317

Other identifiers 1

IdentifierTypeStateIssuer
2035248OtherPK

Other names 1

  • LALLIE KEMP OUTPATIENT PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lallie Kemp Commcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1154543767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52579 HIGHWAY 51 S",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704432231",
            "telephone_number": "985-878-1317",
            "fax_number": "985-878-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52579 HIGHWAY 51 S",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704432231",
            "telephone_number": "985-878-1317",
            "fax_number": "985-878-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALLIE KEMP MEDICAL CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "FRICKER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "985-878-1280",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "LA",
            "license": "PHY004495IRX",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LALLIE KEMP OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.