Mid-City Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MID-CITY PHARMACY

Practice address

1401 N Foster Dr
Baton Rouge, LA 70806-1818

Phone

(225) 987-9107

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Julie Blades

Title

Pharmacist in Charge

Phone

(225) 987-9107

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Louisiana State University Health Sciences Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Earl K Long Medical Center

  • Institutional Pharmacy
  • Baton Rouge, LA
  • NPI 1548271653
  NPD tax ID
• Earl K. Long Medical Center

  • Community/Retail Pharmacy
  • Baton Rouge, LA
  • NPI 1083766620
  NPD tax ID
• Earl K. Long Medical Center

  • Pharmacy
  • Baton Rouge, LA
  • NPI 1316074016
  NPD tax ID

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1215194071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N FOSTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061818",
            "telephone_number": "225-987-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N FOSTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061818",
            "telephone_number": "225-987-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BLADES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "225-987-9107"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1291170",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1931977",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynne Mickavicz Sickora
• Lauren Marcello Mickenheim, MSN, APRN, FNP-C
• David Fichter Mickey, MD
• Vanessa Lynette Mickles, PHARMD
• Mid City Specialty Center, LLC
• Mid-City Primary Care Center
• Midcity Urgent Care Center Inc
• Jasmine Middelton
• Edward Middleton Jr., M.A., M.DIV., LPC
• Kristina Izabel Midence

• Community/Retail Pharmacy in Baton Rouge, LA
• Providers in Baton Rouge, 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 May 20, 2008; 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.