Olla Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3547 Issued in LA

Legal business name

OLLA PHARMACY, INC.

Practice address

104 Mound St
Jonesville, LA 71343-2319

Phone

(318) 339-7913

Fax

(318) 339-7914

NPI assigned

Jun 4, 2006

Last updated

Mar 21, 2018By 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

Joe N. Canal, RPHNPI 1881963346

Title

President

Phone

(318) 339-7913

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Olla Pharmacy

  dba Brooks Drugs

  • Community/Retail Pharmacy
  • Jonesville, LA
  • NPI 1083080568

  O20100930015552, O20121114000136

  Same enrollment

Practitioners 5

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.

• Joe N Canal, RPH

  • Pharmacist
  • Jonesville, LA
  • NPI 1881963346
  NPD (past) Authorized official
• Angela Parish

  • Pharmacist
  • Ferriday, LA
  • NPI 1427279652
  NPD
• Erica Cook

  • Pharmacist
  • Jena, LA
  • NPI 1053031799
  NPD (past)
• Christin Kendrick, PHARMD

  • Pharmacist
  • Jonesville, LA
  • NPI 1518701481
  NPD (past)
• Destinee Woods

  • Pharmacist
  • Jonesville, LA
  • NPI 1609730852
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1215976683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MOUND ST",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432319",
            "telephone_number": "318-339-7913",
            "fax_number": "318-339-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MOUND ST",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432319",
            "telephone_number": "318-339-7913",
            "fax_number": "318-339-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLLA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "CANAL",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-339-7913",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "3547",
            "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": "1264377",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1902584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana Early Intervention Specialists
• Louisiana Homecare of Miss-Lou, LLC
• Morgan Pharmacy Inc (Morgans Pharmacy Inc)
• John M Morgan, PHARMACIST
• Olla Pharmacy (Brooks Drugs)
• Debra M Reeves
• Casey Ryan
• Team Health Care LLC
• Team Urgent Care LLC
• Tillman Medical Group PA

• Community/Retail Pharmacy in Jonesville, LA
• Providers in Jonesville, 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 Mar 21, 2018; 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.