Organization Active NPI

Gardiners Pharmacy Inc

  • Community/Retail Pharmacy
  • Natchitoches, LA
National Provider Identifier
1174635023
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY005982 Issued in LA
Legal business name
GARDINERS PHARMACY INC
Doing business as
GARDINERS PHARMACY
Practice address
1053 Parkway Dr
Natchitoches, LA 71457-6276
Phone
(318) 352-4582
Fax
(318) 357-0778
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
George Gardiner, RPH
Title
Pres
Phone
(318) 352-4582

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY005982 LA Primary
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1053 Parkway Dr
Natchitoches, LA 71457-6276

Mailing address

1053 Parkway Dr
Natchitoches, LA 71457-6276
Phone (318) 352-4582

Other identifiers 2

IdentifierTypeStateIssuer
1908257OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1212261MedicaidLA

Other names 1

  • GARDINERS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1174635023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 PARKWAY DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576276",
            "telephone_number": "318-352-4582",
            "fax_number": "318-357-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 PARKWAY DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576276",
            "telephone_number": "318-352-4582",
            "fax_number": "318-357-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDINERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "318-352-4582",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY005982",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1908257",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1212261",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARDINERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.