Active NPI
Book'S Pharmacy, LTD
- Community/Retail Pharmacy
- Vidalia, LA
National Provider Identifier
1831564111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BOOK'S PHARMACY, LTD
- Practice address
- 1158 Logan Sewell Drive
Vidalia, LA 71373 - Phone
- (318) 414-2616
- Fax
- (318) 414-2619
- NPI assigned
- Dec 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George Book, RPH
- Title
- Owner
- Phone
- (318) 414-2616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1158 Logan Sewell Drive
Vidalia, LA 71373
Mailing address
1158 Logan Sewell Drive
Vidalia, LA 71373
Phone (318) 414-2616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 438931724 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160906001211 | LA | Part B Supplier - Pharmacy | 4082900741 | Practice locations: Vidalia, LA |
National Provider Directory
National Provider DirectoryLocations
1158 Logan Sewell Dr
Vidalia, LA 71373
Phone (318) 414-2616
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Vidalia, LA
- NPI 1902205198
-
- Pharmacist
- Vidalia, LA
- NPI 1235855990
-
- Pharmacist
- Vidalia, LA
- NPI 1194569988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665705600000",
"number": "1831564111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1158 LOGAN SEWELL DRIVE",
"city": "VIDALIA",
"state": "LA",
"postal_code": "71373",
"telephone_number": "318-414-2616",
"fax_number": "318-414-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1158 LOGAN SEWELL DRIVE",
"city": "VIDALIA",
"state": "LA",
"postal_code": "71373",
"telephone_number": "318-414-2616",
"fax_number": "318-414-2619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOOK'S PHARMACY, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-11",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A",
"authorized_official_last_name": "BOOK",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-414-2616",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "438931724",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.