DH Bynum Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.004297-IR Issued in LA

Legal business name

DH BYNUM ENTERPRISES INC

Doing business as

Ouachita Pharmacy

Practice address

1215 Orange St
Monroe, LA 71202-2319

Phone

(318) 388-2669

Fax

(318) 387-5377

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Drury Bynum, RPH MBA FASCP

Title

Owner / Ceo

Phone

(318) 388-2669

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• OUACHITA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1750495735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 ORANGE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022319",
            "telephone_number": "318-388-2669",
            "fax_number": "318-387-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 ORANGE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022319",
            "telephone_number": "318-388-2669",
            "fax_number": "318-387-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DH BYNUM ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "DRURY",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "318-388-2669",
        "authorized_official_credential": "RPH MBA FASCP"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.004297-IR",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032642",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1267244",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUACHITA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Harrison Deuel
• Shereka Ruenet Devall, MHS
• Mary Elizabeth Devillier, FNP-C
• Robert Devinney IV, PT
• Amrit Devkota, M.D.
• Tisa Dhaliwal, RSW
• Dhaya N. Kutnikar M.D. Apmc (Narendra Kutnikar M.D.)
• Aaphtaab Dheendsa, M.D.
• Sangeeta Dhulappanavar Ravi
• Susajjan Dhungana, MD

• Community/Retail Pharmacy in Monroe, LA
• Providers in Monroe, 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 Oct 15, 2014; 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.