Active NPI
Paul's Pharmacy #4
Doing business as Paul's Pharmacy Baton Rouge
- Community/Retail Pharmacy
- Baton Rouge, LA
National Provider Identifier
1972873222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 006458
- Legal business name
- PAUL'S PHARMACY #4
- Doing business as
- Paul's Pharmacy Baton Rouge
- Practice address
- 5355 Government St
Baton Rouge, LA 70806-6065 - Phone
- (985) 878-4401
- Fax
- (985) 878-3657
- NPI assigned
- Jan 4, 2012
- Last updated
- Jan 4, 2012
- 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
- Paul Durnin
- Title
- Owner/Pharmacist
- Phone
- (985) 878-4401
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 006458 | LA | Primary |
Addresses
Primary practice location
5355 Government St
Baton Rouge, LA 70806-6065
Mailing address
PO Box 838
Independence, LA 70443-0838
Phone (985) 878-4401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1935999 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Paul's Pharmacy Baton Rouge
National Provider Directory
National Provider Directory- Tax ID family
- Paul's Pharmacy 4
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
5355 Government St
Baton Rouge, LA 70806
Phone (225) 234-7335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1972873222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 838",
"city": "INDEPENDENCE",
"state": "LA",
"postal_code": "704430838",
"telephone_number": "985-878-4401",
"fax_number": "985-878-3657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5355 GOVERNMENT ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066065",
"telephone_number": "985-878-4401",
"fax_number": "985-878-3657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL'S PHARMACY #4",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-04",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "DURNIN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "985-878-4401"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "LA",
"license": "006458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1935999",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Paul's Pharmacy Baton Rouge",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.