Live Oak Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY002119IR Issued in LA

Legal business name

LIVE OAK PHARMACY INC

Practice address

34730 La Hwy 16
Watson, LA 70786

Phone

(225) 664-7125

Fax

(225) 664-7869

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Lucille Babb, RPH

Title

Owner

Phone

(225) 664-7125

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LIVE OAK PHARMACY Doing business as

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1801953286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "WATSON",
            "state": "LA",
            "postal_code": "707860829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34730 LA HWY 16",
            "city": "WATSON",
            "state": "LA",
            "postal_code": "70786",
            "telephone_number": "225-664-7125",
            "fax_number": "225-664-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "BABB",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-664-7125",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY002119IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1257419",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE OAK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicki Guidry Stokes, R.PH.

• All providers in Watson, LA
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.