Organization Active NPI

Thrift-Town Healthmart, LLC

Doing business as Thrift-Town HealthMart Pharmacy LTC

  • Long Term Care Pharmacy
  • Amite, LA
National Provider Identifier
1093223323
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
6164 Issued in LA
Legal business name
THRIFT-TOWN HEALTHMART, LLC
Doing business as
Thrift-Town HealthMart Pharmacy LTC
Practice address
512 N 2ND St
Amite, LA 70422-2123
Phone
(985) 748-8191
Fax
(985) 748-5766
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Evans Ray Glasgow Jr., RPHNPI 1932235884
Title
Owner/Pharmacist
Phone
(985) 748-8191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 6164 LA Primary

Addresses

Primary practice location

512 N 2ND St
Amite, LA 70422-2123

Mailing address

PO Box 918
Amite, LA 70422-0918
Phone (985) 748-8191

Other identifiers 2

IdentifierTypeStateIssuer
1235245MedicaidLA
2175570OtherPK

Other names 1

  • Thrift-Town HealthMart Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thrift-Town Healthmart LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1093223323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704220918",
            "telephone_number": "985-748-8191",
            "fax_number": "985-748-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N 2ND ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222123",
            "telephone_number": "985-748-8191",
            "fax_number": "985-748-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFT-TOWN HEALTHMART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "EVANS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "985-748-8191",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "6164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235245",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrift-Town HealthMart Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amite, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.