NPIMap

Organization Active NPI

Fred's Inc

  • Pharmacist
  • Greensburg, LA
National Provider Identifier
1043680887
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
016776 Issued in LA
Legal business name
FRED'S INC
Practice address
6216 Highway 10
Greensburg, LA 70441
Phone
(225) 222-6125
Fax
(225) 222-6197
NPI assigned
Oct 6, 2015
Last updated
Oct 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Mike Hudak
Title
Health Care Manager
Phone
(800) 374-7417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 016776 LA Primary

Addresses

Primary practice location

6216 Highway 10
Greensburg, LA 70441

Mailing address

PO Box 70
Greensburg, LA 70441-0070
Phone (225) 222-6125

Other identifiers 1

IdentifierTypeStateIssuer
1936472MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Freds Pharmacy25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1043680887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "GREENSBURG",
            "state": "LA",
            "postal_code": "704410070",
            "telephone_number": "225-222-6125",
            "fax_number": "225-222-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 HIGHWAY 10",
            "city": "GREENSBURG",
            "state": "LA",
            "postal_code": "70441",
            "telephone_number": "225-222-6125",
            "fax_number": "225-222-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED'S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "HUDAK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "HEALTH CARE MANAGER",
        "authorized_official_telephone_number": "800-374-7417"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "016776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1936472",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.