CPS Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.006243-IR Issued in LA

Legal business name

CPS DRUG STORE LLC

Doing business as

CP's Drug Store LLC

Practice address

426 Avenue B
Bogalusa, LA 70427-3710

Phone

(985) 732-0444

Fax

(985) 735-9513

NPI assigned

May 10, 2010

Last updated

Dec 29, 2010By 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

Charles Pepe

Title

President/Pharmacist

Phone

(985) 732-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CP's Drug Store LLC Doing business as

Locations

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1447578935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 AVENUE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273710",
            "telephone_number": "985-732-0444",
            "fax_number": "985-735-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 AVENUE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273710",
            "telephone_number": "985-732-0444",
            "fax_number": "985-735-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPS DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "PEPE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "985-732-0444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006243-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1935064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CP's Drug Store LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bogalusa, LA
• Providers in Bogalusa, 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 Dec 29, 2010; 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.