NPIMap

Organization Active NPI

Ideal Pharmacy of Franklinton LLC

  • Community/Retail Pharmacy
  • Franklinton, LA
National Provider Identifier
1396859377
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1936IR Issued in LA
Legal business name
IDEAL PHARMACY OF FRANKLINTON LLC
Doing business as
IDEAL DRUG STORE OF FRANKLINTON LLC
Practice address
808 Riverside Dr
Franklinton, LA 70438-3634
Phone
(985) 839-4668
Fax
(985) 839-4669
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
C Burkhalter
Title
Member
Phone
(985) 839-4668

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1936IR LA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

808 Riverside Dr
Franklinton, LA 70438-3634

Mailing address

808 Riverside Dr
Franklinton, LA 70438-3634
Phone (985) 839-4668

Other identifiers 2

IdentifierTypeStateIssuer
2031946OtherPK
1255874MedicaidLA

Other names 1

  • IDEAL DRUG STORE OF FRANKLINTON LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1396859377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 RIVERSIDE DR",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383634",
            "telephone_number": "985-839-4668",
            "fax_number": "985-839-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 RIVERSIDE DR",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383634",
            "telephone_number": "985-839-4668",
            "fax_number": "985-839-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PHARMACY OF FRANKLINTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "BURKHALTER",
        "authorized_official_first_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "985-839-4668"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "1936IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031946",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255874",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL DRUG STORE OF FRANKLINTON LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.