Medrx Specialty Pharmacy, LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.6828 Issued in LA

Legal business name

MEDRX SPECIALTY PHARMACY, LLC.

Doing business as

MedRx Pharmacy

Practice address

4726 E Texas St
Suite 230
Bossier City, LA 71111-2545

Phone

(855) 825-5014

Fax

(855) 848-1141

NPI assigned

Jan 31, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jermaine Christopher Allen

Title

Manager/Owner

Phone

(713) 303-3189

Specialties & licenses 1

Addresses

Other names 1

• MedRx Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1386067007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2188",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77410",
            "telephone_number": "713-303-3189",
            "fax_number": "855-848-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 E TEXAS ST",
            "address_2": "SUITE 230",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112545",
            "telephone_number": "855-825-5014",
            "fax_number": "855-848-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRX SPECIALTY PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "713-303-3189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.6828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedRx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bossier City, LA
• Providers in Bossier City, 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 Feb 8, 2017; 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.