Brodie Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

000103IR Issued in LA

Legal business name

BRODIE PHARMACY INC

Doing business as

BRODIE PHARMACY INC

Practice address

204 Davenport Ave
Mer Rouge, LA 71261

Phone

(318) 647-5754

Fax

(318) 647-5222

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Robert Adams

Title

MGR

Phone

(318) 647-5754

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• BRODIE PHARMACY INC Doing business as

Locations

Practitioners 2

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

• Kathy E Denman, PHARMACY-TECH

  • Pharmacy Technician
  • Mer Rouge, LA
  • NPI 1730209164
  NPD (past)
• Margaret B Philley, RPH

  • Pharmacist
  • Mer Rouge, LA
  • NPI 1609996024
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1336253319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712610153",
            "telephone_number": "318-647-5754",
            "fax_number": "318-647-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DAVENPORT AVE",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "71261",
            "telephone_number": "318-647-5754",
            "fax_number": "318-647-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODIE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "318-647-5754"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "000103IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205800",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1907510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRODIE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen L, Spires MD a Medical Corporation
• Allen L, Spires MD a Practice Medical Corporation
• Beautiful Grace, LLC
• Shelrika S Bryant, PLPC
• Lonnie Cephas
• Wanda Chandler
• Kathy E Denman, PHARMACY-TECH
• Anthony Devoil

• Community/Retail Pharmacy in Mer Rouge, LA
• Providers in Mer Rouge, 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 Jul 19, 2010; 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.