Gulfcoast Pharmaceutical Specialty

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

005084IR Issued in LA

Legal business name

GULFCOAST PHARMACEUTICAL SPECIALTY

Doing business as

GPS

Practice address

1039 E Highway 30
Gonzales, LA 70737-4757

Phone

(225) 647-4182

Fax

(225) 644-0460

NPI assigned

Aug 20, 2006

Last updated

Jan 17, 2013By 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

Myra Black

Title

Owner

Phone

(225) 647-4182

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• GPS Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1902911936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707070489",
            "telephone_number": "225-647-4182",
            "fax_number": "225-644-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 E HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374757",
            "telephone_number": "225-647-4182",
            "fax_number": "225-644-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST PHARMACEUTICAL SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-647-4182"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "LA",
            "license": "005084IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1270784",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1929972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Taylor Guedry
• Madeleine Guerin, M.D.
• Olevia Tennille Guidry
• Robert Joseph Guidry Jr., PHYSICAL THERAPIST
• Tiffany Simoneaux Guidry, LOTR
• Gulfcoast Pharmaceuticals
• Gabrielle Alexis Gutierrez, M.S. CF-SLP
• Gus Luis Gutierrez, PT, DPT,OCS, FAAOMPT
• Lucinda Guynes
• Juanita Habisreitinger, RPH

• Institutional Pharmacy in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Institutional Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.