Tioga Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TIOGA PHARMACY LLC

Practice address

5101 Shreveport Hwy
Pineville, LA 71360

Phone

(318) 717-8555

NPI assigned

Jan 9, 2019

Last updated

Oct 27, 2023By 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

Jeremy Powell, RPHNPI 1104131200

Title

Pharmacist

Phone

(318) 769-9751

Specialties & licenses 1

Addresses

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.

• Jeremy Powell, RPH

  • Pharmacist
  • Pineville, LA
  • NPI 1104131200
  NPD Authorized official

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1942773213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 ROBERTSON RD",
            "city": "POLLOCK",
            "state": "LA",
            "postal_code": "714673809",
            "telephone_number": "318-769-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-717-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2023-10-27",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "318-769-9751",
        "authorized_official_credential": "RPH"
    },
    "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 Pineville, LA
• Providers in Pineville, 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 Oct 27, 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.