Mall Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.007009 Issued in LA

Legal business name

MALL PHARMACY LLC

Doing business as

Mall Pharmacy

Practice address

531 S Main St
Springhill, LA 71075-4027

Phone

(318) 539-3622

NPI assigned

Feb 8, 2007

Last updated

Apr 30, 2025By 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

Dr. James Henry O'Glee, PHARM D

Title

Pic

Phone

(318) 539-3622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mall Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1295875029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710751126",
            "telephone_number": "318-539-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S MAIN ST",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754027",
            "telephone_number": "318-539-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "O'GLEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "318-539-3622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203550",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Wilson Lane, DDS
• Katie Lana Lincoln, PHARM.D.
• Vincent Bryan Lococo, MD
• Louisiana Homecare of Minden, LLC (Louisiana HomeCare)
• Megan E Madden, FNP
• Sonya Manning, LPN
• Rayla Fish May, LPC
• Wilma Lynette Maynor, FNP-C
• Christopher McIntyre, R.PH.
• Vivian McIntyre, B.S. PHARM

• Community/Retail Pharmacy in Springhill, LA
• Providers in Springhill, 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 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.