Brown Morris Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

004203 Issued in LA

Legal business name

BROWN MORRIS PHARMACY INC

Doing business as

Brown Morris Pharmacy

Practice address

717 Avenue G
Kentwood, LA 70444-2601

Phone

(985) 229-6210

Fax

(985) 229-3131

NPI assigned

Jun 22, 2006

Last updated

Apr 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Scardulla, PDNPI 1558799791

Title

Pharmacist and Owner

Phone

(985) 229-6210

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BROWN MORRIS PHARMACY Doing business as

Locations

Practitioners 2

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.

• Daniel M Scardulla, PHD

  • Pharmacist
  • Kentwood, LA
  • NPI 1558799791
  NPD (past) Authorized official
• Penny Scardulla

  • Pharmacist
  • Chapel Hill, NC
  • NPI 1336577576
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1184660573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 AVENUE G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442601",
            "telephone_number": "985-229-6210",
            "fax_number": "985-229-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 AVENUE G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442601",
            "telephone_number": "985-229-6210",
            "fax_number": "985-229-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN MORRIS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "SCARDULLA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "985-229-6210",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "004203",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1267091",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1906518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROWN MORRIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Kentwood, LA
• Providers in Kentwood, 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 Apr 26, 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.