NPIMap

Organization Active NPI

Smotherman Inc

Doing business as Urania Drug Store

  • Community/Retail Pharmacy
  • Urania, LA
National Provider Identifier
1528113263
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY001516IR Issued in LA
Legal business name
SMOTHERMAN INC
Doing business as
Urania Drug Store
Practice address
2164 E Hardnter Dr
Urania, LA 71480
Phone
(318) 495-5407
Fax
(318) 495-5421
NPI assigned
Jan 24, 2007
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Marykay North, PD
Title
Owner
Phone
(318) 495-5915

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY001516IR LA Primary

Addresses

Primary practice location

2164 E Hardnter Dr
Urania, LA 71480

Mailing address

PO Box 640
Urania, LA 71480-0640
Phone (318) 495-5407

Other identifiers 2

IdentifierTypeStateIssuer
1251909MedicaidLA
1917270OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • URANIA DRUG STORE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
R K Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1528113263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "URANIA",
            "state": "LA",
            "postal_code": "714800640",
            "telephone_number": "318-495-5407",
            "fax_number": "318-495-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 E HARDNTER DR",
            "city": "URANIA",
            "state": "LA",
            "postal_code": "71480",
            "telephone_number": "318-495-5407",
            "fax_number": "318-495-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOTHERMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "MARYKAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-495-5915",
        "authorized_official_credential": "PD"
    },
    "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": "PHY001516IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1251909",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1917270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "URANIA DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urania, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.