Thrifty Way Pharmacy of Deridder Inc No 2

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY001316IR Issued in LA

Legal business name

THRIFTY WAY PHARMACY OF DERIDDER INC NO 2

Doing business as

THRIFTY WAY PHARMACY #2

Practice address

601 S Pine St
Deridder, LA 70634-4941

Phone

(337) 463-7442

Fax

(337) 462-0362

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mike Roy

Title

VP

Phone

(800) 430-3784

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THRIFTY WAY PHARMACY #2 Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Anthony Roy, RPH

  • Pharmacist
  • Deridder, LA
  • NPI 1184740128
  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1003827510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344941",
            "telephone_number": "337-463-7442",
            "fax_number": "337-462-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344941",
            "telephone_number": "337-463-7442",
            "fax_number": "337-462-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY WAY PHARMACY OF DERIDDER INC NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-430-3784"
    },
    "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": "PHY001316IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1216917",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIFTY WAY PHARMACY #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne D Thibodeau, LMT
• Quintella Thibodeaux
• Thomas E Dobbins MD Professional LLC
• Deborah Michelle Thompson, FNP-C
• Julie E Thorn, FNP
• Transcend Counseling of Louisiana LLC
• Heather Tweedel, PHARM.D
• Eva Lois Ullom, RN, FNP-C
• Shannon Vallair-Franklin
• Kimberly Vinson

• Community/Retail Pharmacy in Deridder, LA
• Providers in Deridder, 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 Apr 17, 2017; 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.