Organization Active NPI

Monroe Medical Clinic Pharmacy

  • Pharmacist
  • Monroe, LA
National Provider Identifier
1609936012
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15546 Issued in LA
Legal business name
MONROE MEDICAL CLINIC PHARMACY
Practice address
100 S 2ND St
Monroe, LA 71201-8537
Phone
(318) 322-0319
NPI assigned
Dec 8, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Candy Jones
Title
Pharmacist Owner
Phone
(318) 322-0319

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4928 IR LA
Pharmacist 183500000X 15546 LA Primary

Addresses

Primary practice location

100 S 2ND St
Monroe, LA 71201-8537

Mailing address

100 S 2ND St
Monroe, LA 71201-8537
Phone (318) 322-0319

Other identifiers 1

IdentifierTypeStateIssuer
1269654MedicaidLA

National Provider Directory

National Provider Directory

Locations

100 S 2nd St
Monroe, LA 71201
Phone (318) 322-7836

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1609936012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018537",
            "telephone_number": "318-322-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018537",
            "telephone_number": "318-322-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE MEDICAL CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CANDY",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "318-322-0319"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "4928 IR",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269654",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.