Organization Active NPI

Bunkie City Drug, Inc.

  • Community/Retail Pharmacy
  • Bunkie, LA
National Provider Identifier
1407860307
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.004234-IR Issued in LA
Legal business name
BUNKIE CITY DRUG, INC.
Practice address
1010 Shirley Rd
Bunkie, LA 71322-1543
Phone
(318) 346-6307
Fax
(318) 346-2203
NPI assigned
Jul 28, 2006
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Mr. Jeffrey P Juneau, RPH
Title
Pharmacist in Charge
Phone
(318) 346-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY.004234-IR LA Primary

Addresses

Primary practice location

1010 Shirley Rd
Bunkie, LA 71322-1543

Mailing address

PO Box 207
1010 Shirley Road
Bunkie, LA 71322-0207
Phone (318) 346-6307

Other identifiers 1

IdentifierTypeStateIssuer
1267112MedicaidLA

National Provider Directory

National Provider Directory

Locations

1010 Shirley Rd
Bunkie, LA 71322
Phone (318) 346-6307

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1407860307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "address_2": "1010 SHIRLEY ROAD",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713220207",
            "telephone_number": "318-346-6307",
            "fax_number": "318-346-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SHIRLEY RD",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713221543",
            "telephone_number": "318-346-6307",
            "fax_number": "318-346-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNKIE CITY DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "JUNEAU",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "318-346-6307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.004234-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1267112",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunkie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.