Central Lousiana Home Oxygen

Primary specialty

PharmacyTaxonomy code 333600000X

License

04750/11.1 Issued in MS

Legal business name

CENTRAL LOUSIANA HOME OXYGEN

Doing business as

Central Pharmacy

Practice address

15926 Boundary Dr.
Ashland, MS 38603-7739

Phone

(662) 224-8922

NPI assigned

Sep 26, 2006

Last updated

May 1, 2009By 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

Mr. Ernest L Garner III

Title

President

Phone

(662) 578-7641

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Central Pharmacy Doing business as

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1265533970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386060347",
            "telephone_number": "662-578-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15926 BOUNDARY DR.",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386037739",
            "telephone_number": "662-224-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL LOUSIANA HOME OXYGEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-578-7641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "006021",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "04750/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440628",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139110716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruan Bailey, R.PH BS
• Ankit Bavariya, MDS
• Better Care Alliance, LLC
• Sandricka Marsha Bowen, PT, DPT, ATC
• Mattie J Burns
• Derek Alan Clemmer, D.M.D.
• Brenda Kay Craine, BSW
• Family Medical Equipment
• Hearts at Home ,LLC
• Irshad Hussain, MD

• Pharmacy in Ashland, MS
• Providers in Ashland, MS by specialty
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.