Organization Active NPI

The Medicine Shoppe

  • Pharmacist
  • Alexandria, LA
National Provider Identifier
1679618870
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13627 Issued in LA
Legal business name
THE MEDICINE SHOPPE
Practice address
4730 Jackson Street Ext
Alexandria, LA 71303-2505
Phone
(318) 448-2445
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rueben Scott Hunt, R.PH
Title
Pharmacist
Phone
(318) 448-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 13627 LA Primary

Addresses

Primary practice location

4730 Jackson Street Ext
Alexandria, LA 71303-2505

Mailing address

4730 Jackson Street Ext
Alexandria, LA 71303-2505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679618870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032505",
            "telephone_number": "318-448-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "RUEBEN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "318-448-2445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "13627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.