Mansura Drugstore

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.006525-IR Issued in LA

Legal business name

MANSURA DRUGSTORE

Practice address

2043 Leglise St
Mansura, LA 71350-4501

Phone

(318) 964-2104

Fax

(318) 964-5268

NPI assigned

Aug 30, 2006

Last updated

Aug 19, 2013By 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

Mrs. Linda B Neyland

Title

Owner

Phone

(318) 964-2104

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1386753218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 LEGLISE ST",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504501",
            "telephone_number": "318-964-2104",
            "fax_number": "318-964-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 LEGLISE ST",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504501",
            "telephone_number": "318-964-2104",
            "fax_number": "318-964-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSURA DRUGSTORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "NEYLAND",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-964-2104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "CDS.041726-PHY",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006525-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202138",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Bordelon Lemoine
• Pamela Lemoine, APRN, AGACNP
• Shameka Leviege
• Aleshia Lewis, NP
• Louisiana Health Care Practitioners LLC (Mansura Family Clinic)
• Scott A McBride, PT, DPT
• Rhodora L Merrill, BSN
• Sadie K Middlebrooks, DPT
• Haley M Miller, PTA
• Morris Lee Moncure

• Community/Retail Pharmacy in Mansura, LA
• Providers in Mansura, 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 19, 2013; 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.