North Louisiana St. Vincent Depaul Community Pharmacy

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

4211CH Issued in LA

Legal business name

NORTH LOUISIANA ST. VINCENT DEPAUL COMMUNITY PHARMACY

Practice address

502 Grammont St
Monroe, LA 71201-7515

Phone

(318) 387-7868

Fax

(318) 324-9425

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Gabriel Biglane, R.PH.

Title

Executive Director

Phone

(318) 387-6415

Specialties & licenses 1

Addresses

Other names 1

• St. Vincent dePaul Community Pharmacy Other name

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801918081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 GRAMMONT ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017515",
            "telephone_number": "318-387-7868",
            "fax_number": "318-324-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GRAMMONT ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017515",
            "telephone_number": "318-387-7868",
            "fax_number": "318-324-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LOUISIANA ST. VINCENT DEPAUL COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIGLANE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-387-6415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "LA",
            "license": "4211CH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent dePaul Community Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Voluntary or Charitable Agency in Monroe, LA
• Providers in Monroe, LA by specialty
• Voluntary or Charitable Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.