Professional Care Pharmacy, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

PROFESSIONAL CARE PHARMACY, LLC

Practice address

1406 Lamy LN
Monroe, LA 71201-3732

Phone

(318) 345-2891

Fax

(318) 343-0093

NPI assigned

Jan 10, 2007

Last updated

Apr 9, 2019By 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

Mr. Robert Barry Dopson

Title

Managing Member

Phone

(318) 345-2891

Specialties & licenses 5

Addresses

Other identifiers 2

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1669521316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 LAMY LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013732",
            "telephone_number": "318-345-2891",
            "fax_number": "318-343-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 LAMY LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013732",
            "telephone_number": "318-345-2891",
            "fax_number": "318-343-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "DOPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-345-2891",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1228257",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD PHARMACY",
            "identifier": "C006006-1R",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melodynee Pringle, MB
• Brittany Pritchard
• Diane M Privitor Davis, FNP-C, PMHNPBC
• Gwendolyn Holdiness Proctor, MD
• Michael Proctor
• Progressive Healthcare (Monroe Medical Clinic)
• Prohealth Monroe LLC
• Prosper Therapy and Feeding Solutions
• Protective Factors, LLC
• Rustee Danielle Pruitt, LPC

• Home Infusion Therapy Pharmacy in Monroe, LA
• Providers in Monroe, LA by specialty
• Home Infusion Therapy Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.