NPIMap

Organization Active NPI

Village Pharmacy at Walker

  • Community/Retail Pharmacy
  • Walker, LA
National Provider Identifier
1316237928
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18892 Issued in LA
Legal business name
VILLAGE PHARMACY AT WALKER
Practice address
29811 Walker South Road
Walker, LA 70785
Phone
(225) 698-0800
Fax
(225) 698-3009
NPI assigned
Apr 15, 2011
Organization subpart
Yes
Parent organization
VILLAGE PHARMACY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Mr. Kirkland Daniel Jeane, RPH
Title
Pharmacist
Phone
(225) 698-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 18892 LA Primary

Addresses

Primary practice location

29811 Walker South Road
Walker, LA 70785

Mailing address

29811 Walker South Rd
Walker, LA 70785
Phone (225) 698-0800

National Provider Directory

National Provider Directory
Tax ID family
Village Pharmacy at Walker2 organizations share this tax ID, including this one
Part of
Village Pharmacy at Walker

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1316237928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29811 WALKER SOUTH RD",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "70785",
            "telephone_number": "225-698-0800",
            "fax_number": "225-698-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29811 WALKER SOUTH ROAD",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "70785",
            "telephone_number": "225-698-0800",
            "fax_number": "225-698-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY AT WALKER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE PHARMACY, LLC",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "JEANE",
        "authorized_official_first_name": "KIRKLAND",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "225-698-0800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "18892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.