Organization Active NPI

Mock's Pharmacy and Gifts, Inc.

  • Pharmacist
  • West Monroe, LA
National Provider Identifier
1356419022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4434-IR Issued in LA
Legal business name
MOCK'S PHARMACY AND GIFTS, INC.
Practice address
711 Arkansas Rd
West Monroe, LA 71291-5022
Phone
(318) 396-1431
Fax
(318) 396-1431
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melinda H Jones, RPH
Title
President
Phone
(318) 396-1431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4434-IR LA Primary

Addresses

Primary practice location

711 Arkansas Rd
West Monroe, LA 71291-5022

Mailing address

711 Arkansas Rd
West Monroe, LA 71291-5022
Phone (318) 396-1431

Other identifiers 1

IdentifierTypeStateIssuer
1268127MedicaidLA

National Provider Directory

National Provider Directory

Locations

711 Arkansas Rd
West Monroe, LA 71291
Phone (318) 396-1431

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356419022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915022",
            "telephone_number": "318-396-1431",
            "fax_number": "318-396-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915022",
            "telephone_number": "318-396-1431",
            "fax_number": "318-396-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCK'S PHARMACY AND GIFTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-396-1431",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "4434-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1268127",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.