Organization Active NPI

Reagans RX Compounding Pharmacy and Home Care LLC

  • Community/Retail Pharmacy
  • Minden, LA
National Provider Identifier
1326376542
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.006248-IR Issued in LA
Legal business name
REAGANS RX COMPOUNDING PHARMACY AND HOME CARE LLC
Doing business as
Reagan's Rx Compounding Pharmacy & Home Care, LLC
Practice address
1118 Homer Rd Ste G
Minden, LA 71055-3028
Phone
(318) 382-7948
Fax
(318) 382-4924
NPI assigned
Nov 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Denise Reagan
Title
Owner/Pharmacist
Phone
(318) 382-7948

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY.006248-IR LA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1118 Homer Rd Ste G
Minden, LA 71055-3028

Mailing address

1118 Homer Rd Ste G
Minden, LA 71055-3028
Phone (318) 382-7948

Other identifiers 2

IdentifierTypeStateIssuer
2124910OtherPK
2200038MedicaidLA

Other names 1

  • Reagan's Rx Compounding Pharmacy & Home Care, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1118 Homer Rd
Ste G
Minden, LA 71055
Phone (318) 382-7948

NPI Registry JSON

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

{
    "created_epoch": "1259366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1326376542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 HOMER RD STE G",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553028",
            "telephone_number": "318-382-7948",
            "fax_number": "318-382-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 HOMER RD STE G",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553028",
            "telephone_number": "318-382-7948",
            "fax_number": "318-382-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGANS RX COMPOUNDING PHARMACY AND HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-28",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "318-382-7948"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006248-IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200038",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reagan's Rx Compounding Pharmacy & Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.