Port Vincent Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PORT VINCENT PHARMACY LLC

Doing business as

Port Vincent Pharmacy

Practice address

18590 La Highway 16
Suite 1
Port Vincent, LA 70726-8066

Phone

(225) 698-6666

Fax

(225) 698-6766

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By 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

Mr. Merlin Anthony Lacombe Jr., R.PH.

Title

Owner/Pharmacist-in-Charge

Phone

(225) 698-6666

Specialties & licenses 1

Addresses

Other names 1

• Port Vincent Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1518193051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18590 LA HIGHWAY 16",
            "address_2": "SUITE 1",
            "city": "PORT VINCENT",
            "state": "LA",
            "postal_code": "707268066",
            "telephone_number": "225-698-6666",
            "fax_number": "225-698-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18590 LA HIGHWAY 16",
            "address_2": "SUITE 1",
            "city": "PORT VINCENT",
            "state": "LA",
            "postal_code": "707268066",
            "telephone_number": "225-698-6666",
            "fax_number": "225-698-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT VINCENT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "LACOMBE",
        "authorized_official_first_name": "MERLIN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "225-698-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Vincent Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Port Vincent, LA
• Providers in Port Vincent, 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 10, 2009; 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.