Organization Active NPI

The Medicine Cabinet of Caldwell, LLC

  • Community/Retail Pharmacy
  • Columbia, LA
National Provider Identifier
1154920650
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE MEDICINE CABINET OF CALDWELL, LLC
Doing business as
The Medicine Cabinet
Practice address
7623 Highway 165
Columbia, LA 71418
Phone
(318) 649-6410
Fax
(318) 649-6442
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Danielle Nicole O'Donnell, PHARM D
Title
Co-Owner
Phone
(318) 649-6410

Specialties & licenses 1

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

Addresses

Primary practice location

7623 Highway 165
Columbia, LA 71418

Mailing address

7623 Highway 165
Columbia, LA 71418

Other identifiers 1

IdentifierTypeStateIssuer
2208063MedicaidLA

Other names 1

  • The Medicine Cabinet Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210104001409 LA Part B Supplier - Pharmacy 0042623472 Practice locations: Columbia, LA

National Provider Directory

National Provider Directory

Locations

7623 Highway 165
Columbia, LA 71418
Phone (318) 649-6410

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1154920650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7623 HIGHWAY 165",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "71418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7623 HIGHWAY 165",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "71418",
            "telephone_number": "318-649-6410",
            "fax_number": "318-649-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE CABINET OF CALDWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "318-649-6410",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208063",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Cabinet",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Cabinet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.