The Drug Store, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

005324-IR Issued in LA

Legal business name

THE DRUG STORE, LLC

Practice address

857 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5504

Phone

(337) 855-1990

Fax

(337) 855-1901

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shana Murphy Prejean, R.PH.

Title

Pharmacist Owner

Phone

(337) 855-1990

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508936501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 SAM HOUSTON JONES PKWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115504",
            "telephone_number": "337-855-1990",
            "fax_number": "337-855-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 SAM HOUSTON JONES PKWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115504",
            "telephone_number": "337-855-1990",
            "fax_number": "337-855-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DRUG STORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PREJEAN",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "MURPHY",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "337-855-1990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "005324-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271870",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1931927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY REGISTRATION NUM",
            "identifier": "C005324IR",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Lake Charles, LA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.