Professional Pharmacy RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.007236-IR Issued in LA

Legal business name

PROFESSIONAL PHARMACY RX, LLC

Doing business as

Professional Pharmacy

Practice address

1414 Jackson St
Alexandria, LA 71301-6931

Phone

(318) 442-4485

Fax

(318) 443-6410

NPI assigned

Jan 6, 2016

Last updated

Jan 6, 2016By 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

Mrs. Darla W Corley, RPHNPI 1013463892

Title

Managing Member

Phone

(318) 442-4485

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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.

• Darla Corley, RPH

  • Pharmacist
  • Alexandria, LA
  • NPI 1013463892
  NPD Authorized official
• Talmadge R Green, P.D.

  • Pharmacist
  • Alexandria, LA
  • NPI 1760564439
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1689030686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713016931",
            "telephone_number": "318-442-4485",
            "fax_number": "318-443-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713016931",
            "telephone_number": "318-442-4485",
            "fax_number": "318-443-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-442-4485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007236-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "PHY.007236-IR",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• William Alan Puckett Jr., D.D.S.
• Sharon Anne Pugh, PHD, MP
• Craig Pullen
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• Community/Retail Pharmacy in Alexandria, LA
• Providers in Alexandria, 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 Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.