NPIMap

Organization Active NPI

Magnolia Drugs and Delivery Corporation

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1396063871
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
C-006249 Issued in LA
Legal business name
MAGNOLIA DRUGS AND DELIVERY CORPORATION
Practice address
10782 North Harrells Ferry Road
Ste D
Baton Rouge, LA 70816
Phone
(225) 926-7955
Fax
(225) 926-7953
NPI assigned
May 10, 2010
Last updated
Apr 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mrs. Phallim Kruth, PHARMD
Title
Pharmacist/Owner
Phone
(225) 926-7955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X C-006249 LA Primary

Addresses

Primary practice location

10782 North Harrells Ferry Road
Ste D
Baton Rouge, LA 70816

Mailing address

10782 North Harrells Ferry Road
Ste D
Baton Rouge, LA 70816
Phone (225) 926-7955

Other identifiers 2

IdentifierTypeStateIssuer
6249OtherLALOUISIANA STATE PERMIT NUMBER
C-006249OtherLALOUISIANA STATE CDS

Other names 1

  • Magnolia Drugs and Delivery Other name

National Provider Directory

National Provider Directory

Locations

10782 N Harrells Ferry Rd
#D
Baton Rouge, LA 70816
Phone (225) 926-7955

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1396063871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10782 NORTH HARRELLS FERRY ROAD",
            "address_2": "STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70816",
            "telephone_number": "225-926-7955",
            "fax_number": "225-926-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10782 NORTH HARRELLS FERRY ROAD",
            "address_2": "STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70816",
            "telephone_number": "225-926-7955",
            "fax_number": "225-926-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA DRUGS AND DELIVERY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "KRUTH",
        "authorized_official_first_name": "PHALLIM",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "225-926-7955",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "C-006249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE PERMIT NUMBER",
            "identifier": "6249",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE CDS",
            "identifier": "C-006249",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Drugs and Delivery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.