Active NPI
Medcomp RX
- Community/Retail Pharmacy
- Zachary, LA
National Provider Identifier
1326431982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MEDCOMP RX
- Practice address
- 5500 Fire Station Rd
Suite a
Zachary, LA 70791-7468 - Phone
- (225) 286-4427
- Fax
- (225) 570-8238
- NPI assigned
- Mar 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia P Marionneaux, PHARM.D.
- Title
- Head Pharmacist
- Phone
- (225) 286-4427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
5500 Fire Station Rd
Suite a
Zachary, LA 70791-7468
Mailing address
PO Box 800
Suite a
Zachary, LA 70791
Phone (225) 286-4427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2204335 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Laboratory Director (Non-physician)
- Zachary, LA
- NPI 1831399880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460592000000",
"number": "1326431982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800",
"address_2": "SUITE A",
"city": "ZACHARY",
"state": "LA",
"postal_code": "70791",
"telephone_number": "225-286-4427",
"fax_number": "225-570-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 FIRE STATION RD",
"address_2": "SUITE A",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707917468",
"telephone_number": "225-286-4427",
"fax_number": "225-570-8238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCOMP RX",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-06",
"last_updated": "2016-04-14",
"status": "A",
"authorized_official_last_name": "MARIONNEAUX",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "HEAD PHARMACIST",
"authorized_official_telephone_number": "225-286-4427",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2204335",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.