Medicine Pro LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6523 Issued in LA

Legal business name

MEDICINE PRO LLC

Practice address

2600 S Claiborne Ave
New Orleans, LA 70125-3921

Phone

(504) 309-9223

Fax

(504) 309-7264

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Cyrena Jackson

Title

Owner/Pic

Phone

(504) 234-1056

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MED-PRO PHARMACY Doing business as

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1326313404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 RUE SAINT MICHAEL",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700568224",
            "telephone_number": "504-234-1056",
            "fax_number": "504-393-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S CLAIBORNE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701253921",
            "telephone_number": "504-309-9223",
            "fax_number": "504-309-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CYRENA",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "504-234-1056"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "6523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201450",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-PRO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Center of Louisiana at New Orleans
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• Medicor Healthcare, Inc.
• Melissa Medina, MD, MPH, MS
• Michael Medina
• Michelle Tatiana Medina
• Mediscan Imaging Inc

• Community/Retail Pharmacy in New Orleans, LA
• Providers in New Orleans, 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 19, 2017; 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.