NPIMap

Organization Active NPI

Thrifty Way Pharmacy of Abbeville, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Abbeville, LA
National Provider Identifier
1255351607
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1415-IR Issued in LA
Legal business name
THRIFTY WAY PHARMACY OF ABBEVILLE, INC.
Practice address
2640 North Dr
Abbeville, LA 70510-4043
Phone
(337) 893-6304
Fax
(337) 893-6306
NPI assigned
Jul 20, 2006
Organization subpart
Yes
Parent organization
THRIFTY WAY PHARMACY OF ABBEVILLE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mason J Romero
Title
President
Phone
(337) 893-6304

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1415-IR LA
Customized Equipment (DME) 332BC3200X 1415-IR LA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1415-IR LA
Oxygen Equipment & Supplies (DME) 332BX2000X 1415-IR LA Primary
Pharmacy 333600000X 1415-IR LA
Community/Retail Pharmacy 3336C0003X 1415-IR LA
Home Infusion Therapy Pharmacy 3336H0001X 1415-IR LA
Long Term Care Pharmacy 3336L0003X 1415-IR LA
Mail Order Pharmacy 3336M0002X 1415-IR LA
Specialty Pharmacy 3336S0011X 1415-IR LA

Addresses

Primary practice location

2640 North Dr
Abbeville, LA 70510-4043

Mailing address

2640 North Dr
Abbeville, LA 70510-4043
Phone (337) 893-6304

Other identifiers 3

IdentifierTypeStateIssuer
1217654MedicaidLA
7212435002OtherTRICARE HIT
0001OtherLACHAMPUS/TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930015269 LA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 3577683945 Practice locations: Abbeville, LA
O20101204000052 LA Part B Supplier - Mass Immunization (Roster Biller Only) 3577683945 Practice locations: Abbeville, LA

National Provider Directory

National Provider Directory
Tax ID family
Thrifty Way Pharmacy of Abbeville Inc2 organizations share this tax ID, including this one
Part of
Thrifty Way Pharmacy of Abbeville Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1255351607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 NORTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104043",
            "telephone_number": "337-893-6304",
            "fax_number": "337-893-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 NORTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104043",
            "telephone_number": "337-893-6304",
            "fax_number": "337-893-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY WAY PHARMACY OF ABBEVILLE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THRIFTY WAY PHARMACY OF ABBEVILLE, INC.",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-893-6304"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "1415-IR",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "1415-IR",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "LA",
            "license": "1415-IR",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "1415-IR",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "1415-IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "1415-IR",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "LA",
            "license": "1415-IR",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "1415-IR",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "LA",
            "license": "1415-IR",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "LA",
            "license": "1415-IR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1217654",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HIT",
            "identifier": "7212435002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "0001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.