Open Door Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

006366 Issued in LA

Legal business name

OPEN DOOR PHARMACY LLC

Doing business as

open door pharmacy

Practice address

12087 Old Hammond Hwy Ste E
Baton Rouge, LA 70816-8776

Phone

(225) 454-6619

Fax

(225) 454-6609

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Tena Parker

Title

Owner/Pic

Phone

(225) 573-4050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• open door pharmacy Doing business as

Locations

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1750686085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45276",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708954276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12087 OLD HAMMOND HWY STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168776",
            "telephone_number": "225-454-6619",
            "fax_number": "225-454-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TENA",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "225-573-4050"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "006366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1935646",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "open door pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.