Organization Active NPI

Primary Health Services Center

Doing business as PHSC Pharmacy

  • Community/Retail Pharmacy
  • Monroe, LA
National Provider Identifier
1407319080
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRIMARY HEALTH SERVICES CENTER
Doing business as
PHSC Pharmacy
Practice address
2913 Desiard St
Monroe, LA 71201-7207
Phone
(318) 654-8756
Fax
(318) 654-8759
NPI assigned
Apr 10, 2019
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Mrs. Catherine M Tonore
Title
Ceo
Phone
(318) 388-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2913 Desiard St
Monroe, LA 71201-7207

Mailing address

PO Box 7495
Monroe, LA 71211-7495
Phone (318) 388-1250

Other identifiers 1

IdentifierTypeStateIssuer
2206931MedicaidLA

Other names 1

  • PHSC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Primary Health Services Ctr8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1407319080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7495",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712117495",
            "telephone_number": "318-388-1250",
            "fax_number": "318-388-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017207",
            "telephone_number": "318-654-8756",
            "fax_number": "318-654-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "TONORE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-388-1250",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206931",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHSC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHSC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.