Organization Active NPI

Pearson Drugs No 7 LLC

Doing business as Pearson Drug

  • Community/Retail Pharmacy
  • Lecompte, LA
National Provider Identifier
1306918222
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.3151-IR Issued in LA
Legal business name
PEARSON DRUGS NO 7 LLC
Doing business as
Pearson Drug
Practice address
1806 Water St
Lecompte, LA 71346-9545
Phone
(318) 776-5649
Fax
(318) 776-9212
NPI assigned
Nov 15, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Marty McKay, RPHNPI 1710901814
Title
Owner and Pharmacist
Phone
(318) 776-5649

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY.3151-IR LA Primary

Addresses

Primary practice location

1806 Water St
Lecompte, LA 71346-9545

Mailing address

PO Box 369
Lecompte, LA 71346-0369
Phone (318) 776-5649

Other identifiers 2

IdentifierTypeStateIssuer
1262609MedicaidLA
2029930OtherPK

Other names 1

  • PEARSON DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181116000082 LA Part B Supplier - Pharmacy 5597885616 Practice locations: Lecompte, LA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1806 Water St
Lecompte, LA 71346
Phone (318) 776-5646

1806 Water St
#7
Lecompte, LA 71346
Phone (318) 776-5649

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1306918222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "LECOMPTE",
            "state": "LA",
            "postal_code": "713460369",
            "telephone_number": "318-776-5649",
            "fax_number": "318-776-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 WATER ST",
            "city": "LECOMPTE",
            "state": "LA",
            "postal_code": "713469545",
            "telephone_number": "318-776-5649",
            "fax_number": "318-776-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON DRUGS NO 7 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "318-776-5649",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.3151-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1262609",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029930",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARSON DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lecompte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.