Organization Active NPI

Medcomp RX

  • Community/Retail Pharmacy
  • Zachary, LA
National Provider Identifier
1326431982
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Apr 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2204335MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.