Organization Active NPI

Beene Family Pharmacy LLC

Doing business as Beene's Drug Store

  • Community/Retail Pharmacy
  • Tallulah, LA
National Provider Identifier
1801842471
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4366IR Issued in LA
Legal business name
BEENE FAMILY PHARMACY LLC
Doing business as
Beene's Drug Store
Practice address
402 E Darrow St
Tallulah, LA 71282-3512
Phone
(318) 574-1351
Fax
(318) 574-0539
NPI assigned
May 25, 2006
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Mr. Peter Saad
Title
President
Phone
(681) 238-2860

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU
Community/Retail Pharmacy 3336C0003X 4366IR LA Primary
Long Term Care Pharmacy 3336L0003X 4366IR LA

Addresses

Primary practice location

402 E Darrow St
Tallulah, LA 71282-3512

Mailing address

402 E Darrow St
Tallulah, LA 71282-3512
Phone (318) 574-1351

Other identifiers 2

IdentifierTypeStateIssuer
1929326OtherLANCPDP
2210122MedicaidLA

Other names 1

  • Beene's Drug Store Doing business as

National Provider Directory

National Provider Directory

Locations

402 E Darrow St
Tallulah, LA 71282
Phone (318) 574-1351

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1801842471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E DARROW ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823512",
            "telephone_number": "318-574-1351",
            "fax_number": "318-574-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E DARROW ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823512",
            "telephone_number": "318-574-1351",
            "fax_number": "318-574-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEENE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "681-238-2860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "4366IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "4366IR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1929326",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210122",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beene's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.