NPIMap

Organization Active NPI

John Bird

Doing business as Island Pharmacy

  • Community/Retail Pharmacy
  • Sicily Island, LA
National Provider Identifier
1558692400
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.6199-IR Issued in LA
Legal business name
JOHN BIRD
Doing business as
Island Pharmacy
Practice address
311 Chisum St
Sicily Island, LA 71368-4807
Phone
(318) 389-5807
Fax
(318) 389-5842
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
John Bird, RPH
Title
Owner
Phone
(318) 758-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY.6199-IR LA Primary

Addresses

Primary practice location

311 Chisum St
Sicily Island, LA 71368-4807

Mailing address

PO Box 38
Sicily Island, LA 71368-0038

Other identifiers 2

IdentifierTypeStateIssuer
1235482MedicaidLA
2123508OtherPK

Other names 1

  • Island Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1558692400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713680038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CHISUM ST",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713684807",
            "telephone_number": "318-389-5807",
            "fax_number": "318-389-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BIRD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-758-5533",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.6199-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235482",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sicily Island, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.