Organization Active NPI

F and M Specialty Pharmacy Inc

  • Pharmacy
  • Slidell, LA
National Provider Identifier
1013016070
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5202-IR Issued in LA
Legal business name
F AND M SPECIALTY PHARMACY INC
Practice address
118 Village St
Suite D
Slidell, LA 70458-5302
Phone
(985) 781-6798
Fax
(985) 781-9580
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Mr. Henry Fox Skelton II, R.PH.
Title
Vice-President
Phone
(601) 939-9353

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5202-IR LA Primary
Community/Retail Pharmacy 3336C0003X 5202-IR LA
Specialty Pharmacy 3336S0011X 5202-IR LA

Addresses

Primary practice location

118 Village St
Suite D
Slidell, LA 70458-5302

Mailing address

118 Village St
Suite D
Slidell, LA 70458-5302
Phone (985) 781-6798

Other identifiers 2

IdentifierTypeStateIssuer
1271276MedicaidLA
00804028MedicaidMS

National Provider Directory

National Provider Directory

Locations

118 Village St
Ste D
Slidell, LA 70458
Phone (985) 474-4273

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1013016070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 VILLAGE ST",
            "address_2": "SUITE D",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585302",
            "telephone_number": "985-781-6798",
            "fax_number": "985-781-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 VILLAGE ST",
            "address_2": "SUITE D",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585302",
            "telephone_number": "985-781-6798",
            "fax_number": "985-781-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F AND M SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "FOX",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "601-939-9353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "5202-IR",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "5202-IR",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "LA",
            "license": "5202-IR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271276",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00804028",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.