Organization Active NPI

S & S Pharmacy Enterprise Inc.

  • Pharmacy
  • Monroe, LA
National Provider Identifier
1184786766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2073 Issued in LA
Legal business name
S & S PHARMACY ENTERPRISE INC.
Practice address
809 Winnsboro Rd
Monroe, LA 71202-3444
Phone
(318) 325-8239
Fax
(318) 340-0908
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wilfred Ray Smith, PDNPI 1609904952
Title
President
Phone
(318) 325-8239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2073 LA Primary

Addresses

Primary practice location

809 Winnsboro Rd
Monroe, LA 71202-3444

Mailing address

809 Winnsboro Rd
Monroe, LA 71202-3444
Phone (318) 325-8239

Other identifiers 2

IdentifierTypeStateIssuer
1258890MedicaidLA
1915947OtherLANABP

National Provider Directory

National Provider Directory

Locations

809 Winnsboro Rd
Monroe, LA 71202
Phone (318) 325-8239

Practitioners & affiliated clinicians

Practitioners 1

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184786766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WINNSBORO RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712023444",
            "telephone_number": "318-325-8239",
            "fax_number": "318-340-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WINNSBORO RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712023444",
            "telephone_number": "318-325-8239",
            "fax_number": "318-340-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S PHARMACY ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-325-8239",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1258890",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1915947",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.