Active NPI
Magnolia Business Co, Inc. Dba 'Thrifty Way Pharmacy'
- Community/Retail Pharmacy
- Leesville, LA
National Provider Identifier
1144334129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6291-IR
- Legal business name
- MAGNOLIA BUSINESS CO, INC. DBA 'THRIFTY WAY PHARMACY'
- Practice address
- 1019 Fertitta Blvd
Leesville, LA 71446 - Phone
- (337) 239-3474
- Fax
- (337) 238-2575
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra Vermillion McCann, PHARMACIST (RPH)
- Title
- (Pic) Pharmacy Owner Corp-President
- Phone
- (318) 792-6231
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 662IR | LA | |
| Community/Retail Pharmacy | 3336C0003X | 6291-IR | LA | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1019 Fertitta Blvd
Leesville, LA 71446
Mailing address
1019 Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-3474
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1226050 | Medicaid | LA | |
| 2200402 | Medicaid | LA | |
| 1917991 | Other | NCPDP # | |
| 1917991 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- THRIFTY WAY PHARMACY
National Provider Directory
National Provider DirectoryLocations
1019 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-3474
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Leesville, LA
- NPI 1659646263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314835200000",
"number": "1144334129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 FERTITTA BLVD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "71446",
"telephone_number": "337-239-3474",
"fax_number": "337-238-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 FERTITTA BLVD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "71446",
"telephone_number": "337-239-3474",
"fax_number": "337-238-2575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA BUSINESS CO, INC. DBA 'THRIFTY WAY PHARMACY'",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2011-09-01",
"status": "A",
"authorized_official_last_name": "MCCANN",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "VERMILLION",
"authorized_official_title_or_position": "(PIC) PHARMACY OWNER CORP-PRESIDENT",
"authorized_official_telephone_number": "318-792-6231",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARMACIST (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": "LA",
"license": "662IR",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "LA",
"license": "6291-IR",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1226050",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2200402",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP #",
"identifier": "1917991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1917991",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THRIFTY WAY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.