Court House Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

201IR Issued in LA

Legal business name

COURT HOUSE PHARMACY

Practice address

104 S Jones St
Winnfield, LA 71483

Phone

(318) 628-3303

Fax

(318) 628-7122

NPI assigned

Oct 6, 2006

Last updated

Jul 10, 2008By 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

Mr. Sam C Brian Jr., RPHNPI 1780833764

Title

Owner Pharmacist

Phone

(318) 628-3303

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Sam C Brian Jr.

  • Pharmacist
  • Winnfield, LA
  • NPI 1780833764
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1942397666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S JONES ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "71483",
            "telephone_number": "318-628-3303",
            "fax_number": "318-628-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S JONES ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "71483",
            "telephone_number": "318-628-3303",
            "fax_number": "318-628-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURT HOUSE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "BRIAN",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "318-628-3303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "201IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1211001",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1911886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Winnfield, LA
• Providers in Winnfield, LA by specialty
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.