Tiger Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5552-IR Issued in LA

Legal business name

TIGER PHARMACY

Practice address

109A Park West Dr
Suite 1
Scott, LA 70583-8902

Phone

(337) 262-0189

Fax

(337) 593-9751

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven T Trahan

Title

President

Phone

(337) 704-0114

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1801845342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109A PARK WEST DR",
            "address_2": "SUITE 1",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705838902",
            "telephone_number": "337-262-0189",
            "fax_number": "337-593-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109A PARK WEST DR",
            "address_2": "SUITE 1",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705838902",
            "telephone_number": "337-262-0189",
            "fax_number": "337-593-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-704-0114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "5552-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1233871",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Scott, LA
• Providers in Scott, LA by specialty
• Long Term Care Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.