Organization Active NPI

Kens Thrifty Way Pharmacy and Home Medical Inc

  • Pharmacist
  • Lafayette, LA
National Provider Identifier
1164481255
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5617 Issued in LA
Legal business name
KENS THRIFTY WAY PHARMACY AND HOME MEDICAL INC
Practice address
333 Heymann Blvd
Lafayette, LA 70503-2415
Phone
(337) 266-4621
Fax
(337) 266-5596
NPI assigned
Mar 20, 2006
Organization subpart
Yes
Parent organization
KENS THRIFTY WAY PHARMACY AND HOME MEDICAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Mrs. Tammy S Robert
Title
Director of Operations
Phone
(337) 942-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 5617 LA Primary

Addresses

Primary practice location

333 Heymann Blvd
Lafayette, LA 70503-2415

Mailing address

333 Heymann Blvd
Lafayette, LA 70503-2415
Phone (337) 266-4621

Other identifiers 2

IdentifierTypeStateIssuer
1233692MedicaidLA
1932739OtherLANCPDP PROVIDER IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory
Part of
Kens Thrifty Way Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1164481255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032415",
            "telephone_number": "337-266-4621",
            "fax_number": "337-266-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032415",
            "telephone_number": "337-266-4621",
            "fax_number": "337-266-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENS THRIFTY WAY PHARMACY AND HOME MEDICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENS THRIFTY WAY PHARMACY AND HOME MEDICAL INC",
        "enumeration_date": "2006-03-20",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "ROBERT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "337-942-7551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "5617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1233692",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1932739",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.