Grand Coteau Prescription Shoppe & Grocery Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

1889-IR Issued in LA

Legal business name

GRAND COTEAU PRESCRIPTION SHOPPE & GROCERY INC.

Practice address

512 Martin Luther King Jr. Dr.
Grand Coteau, LA 70541

Phone

(337) 662-5777

Fax

(337) 662-5789

NPI assigned

Feb 7, 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. Paul Willis Williams II, R.PH.

Title

Chief Pharmacist

Phone

(337) 662-5777

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811037294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "GRAND COTEAU",
            "state": "LA",
            "postal_code": "705411200",
            "telephone_number": "337-662-5777",
            "fax_number": "337-662-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MARTIN LUTHER KING JR. DR.",
            "city": "GRAND COTEAU",
            "state": "LA",
            "postal_code": "70541",
            "telephone_number": "337-662-5777",
            "fax_number": "337-662-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND COTEAU PRESCRIPTION SHOPPE & GROCERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "337-662-5777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "1889-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1920746",
            "identifier": "NCPDP",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Grand Coteau, LA
• Providers in Grand Coteau, LA by specialty
• Pharmacist 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.