ELLIOTT PHARMACY (GEORGE ELLIOTT INC) NPI 1003033101

Pharmacy (Community/Retail Pharmacy) in Maringouin, LA

NPI 1003033101 Organization Pharmacy Community/Retail Pharmacy

About ELLIOTT PHARMACY (GEORGE ELLIOTT INC)

Elliott Pharmacy (george Elliott Inc) is a provider established in Maringouin, Louisiana specializing in pharmacy (community/retail pharmacy) . The NPI number of Elliott Pharmacy (george Elliott Inc) is 1003033101 and was assigned on April 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 4742IR (LA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Elliott Pharmacy. The authorized official of this NPI record is Eric Elliott Pharm D (Owner/secretary)

NPI

1003033101

Provider NameELLIOTT PHARMACY (GEORGE ELLIOTT INC)
Provider Location Address77395 LANDRY DR MARINGOUIN, LA 70757
Provider Mailing AddressPO BOX 116 MARINGOUIN, LA 70757
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameELLIOTT PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date04-19-2007
Last Update Date12-17-2015


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.4742IR
License StateLA
Taxonomy DescriptionA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Business Address

ELLIOTT PHARMACY
77395 LANDRY DR
MARINGOUIN, LA
ZIP 70757
Phone: (225) 625-2353
Fax: (225) 625-3144

Get Directions


Mailing Address

ELLIOTT PHARMACY
PO BOX 116
MARINGOUIN, LA
ZIP 70757
Phone: (225) 625-2353
Fax: (225) 625-3144



Authorized Official

Authorized Official Name ERIC ELLIOTT PHARM D
Authorized Official TitleOWNER/SECRETARY
Authorized Official Phone(225) 625-2353

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

23336L0003XSuppliersPharmacyLong Term Care PharmacyNo

Taxonomy Description: a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1270806MEDICAID (05)LA
1088220001MEDICARE NSC (07)
2028923OTHER (01)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.