NPIMap

Organization Active NPI

North Louisiana Pharmaceutical Company Inc

Doing business as Claiborne Pharmacy

  • Community/Retail Pharmacy
  • Homer, LA
National Provider Identifier
1740560192
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.007234-IR Issued in LA
Legal business name
NORTH LOUISIANA PHARMACEUTICAL COMPANY INC
Doing business as
Claiborne Pharmacy
Practice address
833 W Main St
Homer, LA 71040-3322
Phone
(318) 927-3523
Fax
(318) 927-3526
NPI assigned
Aug 17, 2011
Last updated
Oct 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
John BannisterNPI 1194034660
Title
Owner
Phone
(318) 927-3523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY.007234-IR LA Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

833 W Main St
Homer, LA 71040-3322

Mailing address

PO Box 729
Benton, LA 71006-0729
Phone (318) 927-3523

Other identifiers 2

IdentifierTypeStateIssuer
2131555OtherPK
2200917MedicaidLA

Other names 1

  • Claiborne Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1740560192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710060729",
            "telephone_number": "318-927-3523",
            "fax_number": "318-927-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W MAIN ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403322",
            "telephone_number": "318-927-3523",
            "fax_number": "318-927-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LOUISIANA PHARMACEUTICAL COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-927-3523"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007234-IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131555",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200917",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claiborne Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Claiborne Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homer, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.