Mansfield Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.006935-IR Issued in LA

Legal business name

MANSFIELD DRUG INC

Practice address

132 Jefferson St
Mansfield, LA 71052-2602

Phone

(318) 872-1933

Fax

(318) 872-5816

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Helen DucoteNPI 1912738188

Title

Secretary/Owner

Phone

(318) 872-1933

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MANSFIELD DRUG COMPANY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helen V Ducote, RPH

  • Pharmacist
  • Mansfield, LA
  • NPI 1912738188
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1215034053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710521329",
            "telephone_number": "318-872-1933",
            "fax_number": "318-872-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522602",
            "telephone_number": "318-872-1933",
            "fax_number": "318-872-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "DUCOTE",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "SECRETARY/OWNER",
        "authorized_official_telephone_number": "318-872-1933"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006935-IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1263443",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANSFIELD DRUG COMPANY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Lowery
• M & M Huff & Associates
• Orlando Wade Mack, BACHELORS
• Kinta Magee-Flanigan
• Mansfield Dental Clinic LLC
• Mansfield Drug Inc
• Mansfield Drug Store LLC
• Mansfield Drug Store LLC
• Mansfield Mental Health
• Mansfield Nursing Center

• Community/Retail Pharmacy in Mansfield, LA
• Providers in Mansfield, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.