Thrifty Way Pharmacy of St. Martinville

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1801463-001 Issued in LA

Legal business name

THRIFTY WAY PHARMACY OF ST. MARTINVILLE

Practice address

1620 S Main St
Saint Martinville, LA 70582-4310

Phone

(337) 394-9772

Fax

(337) 394-9773

NPI assigned

Sep 10, 2007

Last updated

Jun 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Anthony Darce, RPHNPI 1982992582

Title

Owner

Phone

(337) 394-9772

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Tax ID family

Thrifty Way Phar of St Mart2 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.

• Thrifty Way Pharmacy of St. Martinville

  • Long Term Care Pharmacy
  • Saint Martinville, LA
  • NPI 1518721091
  NPD tax ID

Practitioners 4

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.

• David Anthony Darce, R.PH.

  • Pharmacist
  • Saint Martinville, LA
  • NPI 1982992582
  NPD Authorized official
• Shelby Rock Babineaux, RPH

  • Pharmacist
  • Saint Martinville, LA
  • NPI 1992883276
  NPD (past)
• Michelle Darce, R.PH

  • Pharmacist
  • Saint Martinville, LA
  • NPI 1235427766
  NPD (past)
• Valerie D Landry, PHARMD

  • Pharmacist
  • Saint Martinville, LA
  • NPI 1013417583
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1306031760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S MAIN ST",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705824310",
            "telephone_number": "337-394-9772",
            "fax_number": "337-394-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S MAIN ST",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705824310",
            "telephone_number": "337-394-9772",
            "fax_number": "337-394-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY WAY PHARMACY OF ST. MARTINVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "DARCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-394-9772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "1801463-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234915",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Arc of St. Martin, Inc.
• The Arc of St. Martin, Inc.
• The Arc of St. Martin, Inc.
• The Arc of St. Martin, Inc.
• Sheremie Ann Thibodeaux
• Thrifty Way Pharmacy of St. Martinville
• Jason Valls, MD
• Daniel Joseph Wiltz, M.D.
• Tonya Wiltz

• Community/Retail Pharmacy in Saint Martinville, LA
• Providers in Saint Martinville, 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 Jun 1, 2009; 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.