Bocage Pharmacy Centre Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY006047IR Issued in LA

Legal business name

BOCAGE PHARMACY CENTRE INC

Doing business as

Bocage Pharmacy Centre

Practice address

7150 Jefferson Hwy
Ste 680
Baton Rouge, LA 70806-8128

Phone

(225) 364-2847

Fax

(225) 364-2852

NPI assigned

Jul 17, 2008

Last updated

Aug 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marla Gibbens

Title

Doctor of Pharmacy

Phone

(225) 364-2847

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bocage Pharmacy Centre Doing business as

Locations

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1336303429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 JEFFERSON HWY",
            "address_2": "STE 680",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068128",
            "telephone_number": "225-364-2847",
            "fax_number": "225-364-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 JEFFERSON HWY",
            "address_2": "STE 680",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068128",
            "telephone_number": "225-364-2847",
            "fax_number": "225-364-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCAGE PHARMACY CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "GIBBENS",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "DOCTOR OF PHARMACY",
        "authorized_official_telephone_number": "225-364-2847"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY006047IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116838",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234273",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bocage Pharmacy Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rain Aspen Boatner
• Reva Boatner
• Tekoah Boatner, HS-BCP
• Andrea Bob
• Emily Grace Bobe
• Valencia Michelle Bocard
• Gloria Bockrath, PH.D. COUNSELOR
• Arcell Bodden, LPC
• Cheree' Sessums Bodden
• Ethan Bodden

• Community/Retail Pharmacy in Baton Rouge, LA
• Providers in Baton 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 Aug 18, 2014; 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.