Organization Active NPI

Jennings Family Pharmacy Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Jennings, LA
National Provider Identifier
1932211927
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JENNINGS FAMILY PHARMACY INC
Doing business as
Medicine Shoppe
Practice address
802 N Lake Arthur Ave
Jennings, LA 70546-4628
Phone
(337) 824-0413
Fax
(337) 824-5730
NPI assigned
Aug 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Louis O'Connor, RPH
Title
Owner Pharmacist
Phone
(337) 824-0413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X C002521IR LA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

802 N Lake Arthur Ave
Jennings, LA 70546-4628

Mailing address

802 N Lake Arthur Ave
Jennings, LA 70546-4628
Phone (337) 824-0413

Other identifiers 2

IdentifierTypeStateIssuer
1924213OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1260193MedicaidLA

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

802 N Lake Arthur Ave
Jennings, LA 70546
Phone (337) 824-0413

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1932211927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N LAKE ARTHUR AVE",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464628",
            "telephone_number": "337-824-0413",
            "fax_number": "337-824-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N LAKE ARTHUR AVE",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464628",
            "telephone_number": "337-824-0413",
            "fax_number": "337-824-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "337-824-0413",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "C002521IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1924213",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1260193",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.