Northside Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4334 Issued in LA

Legal business name

NORTHSIDE PHARMACY

Practice address

201 E Franklin St
Farmerville, LA 71241-2956

Phone

(318) 368-8340

Fax

(318) 368-7851

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By 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

William Bruce FrenchNPI 1639176548

Title

Owner/Pic

Phone

(318) 368-8340

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Bruce French, PHARMACIST

  • Pharmacist
  • Farmerville, LA
  • NPI 1639176548
  NPD (past) Authorized official
• Michael Edward Barnhill

  • Pharmacist
  • Farmerville, LA
  • NPI 1194139360
  NPD (past)
• Jerry Henderson

  • Pharmacist
  • Farmerville, LA
  • NPI 1508228214
  NPD (past)

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1629519301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E FRANKLIN ST",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712412956",
            "telephone_number": "318-368-8340",
            "fax_number": "318-368-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E FRANKLIN ST",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712412956",
            "telephone_number": "318-368-8340",
            "fax_number": "318-368-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "318-368-8340"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "4334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1273961",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Gail Neal
• Deanna Jane Neal, FNPC
• Melissa Deshaun Neal, RSW
• Nela Dental of Farmerville, LLC
• Northeast Louisiana Rehabilitation
• Frances Daniell Ogden, CIT-5973
• Gwendolyn Pabon
• Angela Patterson
• Paula L Pauley, MS, PLPC
• Kimberly Paxton

• Community/Retail Pharmacy in Farmerville, LA
• Providers in Farmerville, 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 Mar 15, 2017; 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.