Live Oak Pharmacy of Monroe, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIVE OAK PHARMACY OF MONROE, LLC

Practice address

2123 Forsythe Ave
Monroe, LA 71201-3610

Phone

(318) 692-2426

Fax

(833) 998-3829

NPI assigned

Jun 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Meredith Garner, PHARMD

Title

Owner/ Pharmacist in Charge

Phone

(318) 692-2426

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1871334243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013610",
            "telephone_number": "318-692-2426",
            "fax_number": "833-998-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013610",
            "telephone_number": "318-692-2426",
            "fax_number": "833-998-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK PHARMACY OF MONROE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "318-692-2426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Monroe, LA
• Providers in Monroe, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.

Verify at the official NPI Registry.