Active NPI
Honeycutt Pharmacy Inc
- Community/Retail Pharmacy
- Jena, LA
National Provider Identifier
1902486160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HONEYCUTT PHARMACY INC
- Practice address
- 2835 E Oak St
Jena, LA 71342 - Phone
- (318) 992-4574
- NPI assigned
- Apr 12, 2021
- Last updated
- Apr 12, 2021
- 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
- Oluwafemi Adegboyega
- Title
- Pharmacist
- Phone
- (708) 945-0269
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2835 E Oak St
Jena, LA 71342
Mailing address
PO Box 1350
Jena, LA 71342-1350
Phone (318) 992-4574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210923001195 | LA | Part B Supplier - Pharmacy | 4183021819 | Practice locations: Jena, LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Havertown, PA
- NPI 1003373259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618185600000",
"number": "1902486160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1350",
"city": "JENA",
"state": "LA",
"postal_code": "713421350",
"telephone_number": "318-992-4574",
"fax_number": "318-992-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 E OAK ST",
"city": "JENA",
"state": "LA",
"postal_code": "71342",
"telephone_number": "318-992-4574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HONEYCUTT PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-12",
"last_updated": "2021-04-12",
"certification_date": "2021-03-23",
"status": "A",
"authorized_official_last_name": "ADEGBOYEGA",
"authorized_official_first_name": "OLUWAFEMI",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "708-945-0269"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jena, LA
- Elizabeth Elois Greene, LCSW
- Pamela Ruth Hamilton
- Kristal Hardie, OTR/L
- Mercedes Harris
- Honeycutt Pharmacy Inc (Honeycutt Drugstore)
- Honeycutt, LLC. (Honeycutt Drug Store)
- Autumn Yvonne Hooper
- Hospital Service District # 2 of Lasalle Parish (LaSalle Nursing Home)
- Hospital Service District #2 of Lasalle Parish (Lasalle General Hospital)
- Hospital Service District #2 of Lasalle Parish (LaSalle Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.