FTW Lake Charles LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FTW LAKE CHARLES LLC

Doing business as

Thrifty Way Pharmacy of Lake Charles

Practice address

1505 W McNeese St
Lake Charles, LA 70605-4241

Phone

(337) 477-7733

Fax

(337) 477-6996

NPI assigned

Aug 10, 2024

Last updated

Sep 23, 2024By 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

Glynda Fuselier, PHARMDNPI 1255688776

Title

Managing Member

Phone

(318) 715-0015

Specialties & licenses 2

Addresses

Other names 1

• Thrifty Way Pharmacy of Lake Charles Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Tax ID family

FTW Lake Charles LLC2 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.

• FTW Lake Charles LLC

  • Long Term Care Pharmacy
  • Lake Charles, LA
  • NPI 1275404378
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• FTW Lake Charles LLC

  • Long Term Care Pharmacy
  • Lake Charles, LA
  • NPI 1275404378
  NPPES parent name

Practitioners 1

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.

• Glynda S Fuselier, PHARMD

  • Pharmacist
  • Lake Charles, LA
  • NPI 1255688776
  NPD Authorized official

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1346071461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054241",
            "telephone_number": "337-477-7733",
            "fax_number": "337-477-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054241",
            "telephone_number": "337-477-7733",
            "fax_number": "337-477-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FTW LAKE CHARLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "FUSELIER",
        "authorized_official_first_name": "GLYNDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-715-0015",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrifty Way Pharmacy of Lake Charles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrifty Way Pharmacy of Lake Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dianna Flowers Fruge, LCSW
• Julie Fruge, NP
• Meghan Fruge
• Susan E. Fry, LCSW
• FTW Lake Charles LLC
• Lynsie Fulkerson, PHARMD
• Full of Grace Therapy LLC
• Todd Michael Furman, BCBA, LBA
• Glynda S Fuselier, PHARMD
• Janie Elizabeth Fuselier, NP

• Community/Retail Pharmacy in Lake Charles, LA
• Providers in Lake Charles, 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 Sep 23, 2024; 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.