Clinic Drug Store of Golden Meadow Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

16430 Issued in LA

Legal business name

CLINIC DRUG STORE OF GOLDEN MEADOW INC

Practice address

110 South Bayou Drive
Golden Meadow, LA 70357

Phone

(985) 475-7777

Fax

(985) 475-7888

NPI assigned

Feb 21, 2007

Last updated

Mar 7, 2023By 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

Dr. Timothy John Callais, PHARM.D.

Title

Pharmacist

Phone

(985) 475-7777

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1588799779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BAYOU DR",
            "city": "GOLDEN MEADOW",
            "state": "LA",
            "postal_code": "703572728",
            "telephone_number": "985-475-7777",
            "fax_number": "985-475-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH BAYOU DRIVE",
            "city": "GOLDEN MEADOW",
            "state": "LA",
            "postal_code": "70357",
            "telephone_number": "985-475-7777",
            "fax_number": "985-475-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC DRUG STORE OF GOLDEN MEADOW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CALLAIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "985-475-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "19-15480",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209538",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celeste Barrios, RN
• Duane John Luke, MD
• Primary Occupational Health Services, L.L.C.

• Pharmacist in Golden Meadow, LA
• Providers in Golden Meadow, LA by specialty
• Pharmacist in Louisiana

• 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.