Farmerville Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY000356IR Issued in LA

Legal business name

FARMERVILLE DRUG CO INC

Doing business as

Farmerville Drug Co Inc

Practice address

300 E Water St
Farmerville, LA 71241-3032

Phone

(318) 368-9711

Fax

(318) 368-8567

NPI assigned

Dec 11, 2006

Last updated

Jan 6, 2011By 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

Gary Albritton

Title

Pres Owner

Phone

(318) 368-9711

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FARMERVILLE DRUG CO INC Doing business as

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1417017658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E WATER ST",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712413032",
            "telephone_number": "318-368-9711",
            "fax_number": "318-368-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E WATER ST",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712413032",
            "telephone_number": "318-368-9711",
            "fax_number": "318-368-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMERVILLE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "ALBRITTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "318-368-9711"
    },
    "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": "PHY000356IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215261",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1902825",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMERVILLE DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Dick, CIT
• Kelly B Dodd, APRN, FNP-C
• Casundra Denise Downs, MA, LPC
• Dva Renal Healthcare Inc (Farmerville Dialysis)
• Casey Scarborough Eckhardt, MOT, LOTR, PT, DPT
• Farmerville Nursing and Rehabilitation Center, LLC
• Angel Fields
• Lagina Fields
• Jennifer Camille Fike
• Shondra Fobbs

• Community/Retail Pharmacy in Farmerville, LA
• Providers in Farmerville, 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 Jan 6, 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.