Organization Active NPI

Kirby'S Family Pharmacy, Inc.

  • Pharmacy
  • Alexandria, LA
National Provider Identifier
1790790673
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
KIRBY'S FAMILY PHARMACY, INC.
Practice address
1305 Windsor PL
Alexandria, LA 71303-2751
Phone
(318) 445-2575
Fax
(318) 484-9457
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Mr. Kirby George Desormeaux, PHARMACIST
Title
President Pharmacist
Phone
(318) 445-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1305 Windsor PL
Alexandria, LA 71303-2751

Mailing address

1305 Windsor PL
Alexandria, LA 71303-2751
Phone (318) 445-2575

Other identifiers 1

IdentifierTypeStateIssuer
1258563MedicaidLA

National Provider Directory

National Provider Directory

Locations

1305 Windsor Pl
Alexandria, LA 71303
Phone (318) 445-2575

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1790790673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WINDSOR PL",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032751",
            "telephone_number": "318-445-2575",
            "fax_number": "318-484-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WINDSOR PL",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032751",
            "telephone_number": "318-445-2575",
            "fax_number": "318-484-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY'S FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "DESORMEAUX",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "318-445-2575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1258563",
            "state": "LA"
        }
    ],
    "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 8, 2012; 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.