Henderson Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.000449-IR Issued in LA

Legal business name

HENDERSON PHARMACY

Practice address

1169 N Main St
Zwolle, LA 71486-3501

Phone

(318) 645-6116

Fax

(318) 645-2209

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Earl D Henderson, RPHNPI 1124109764

Title

Owner/Pharmacist

Phone

(318) 645-6116

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earl D Henderson

  • Pharmacist
  • Zwolle, LA
  • NPI 1124109764
  NPD (past) Authorized official

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1477083590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "ZWOLLE",
            "state": "LA",
            "postal_code": "714860608",
            "telephone_number": "318-645-6116",
            "fax_number": "318-645-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 N MAIN ST",
            "city": "ZWOLLE",
            "state": "LA",
            "postal_code": "714863501",
            "telephone_number": "318-645-6116",
            "fax_number": "318-645-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "318-645-6116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.000449-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904728",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C. Right Services LLC
• Desoto Hospital Association
• Epg Logistics LLC
• Steven Furr, D.O.
• Amy Marie Garcie, NP
• Earl D Henderson
• CHI Tai Peter Lau, M.D.
• Garland Dupree Miller, MD
• New Path Counseling Center Inc
• Hallie Parrie, FNP-C

• Community/Retail Pharmacy in Zwolle, LA
• Providers in Zwolle, 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 Jun 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.