Waterproof Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.001842-IR Issued in LA

Legal business name

WATERPROOF DRUGS INC

Practice address

114 Serio Blvd
Ferriday, LA 71334-2013

Phone

(318) 757-4114

Fax

(318) 757-4111

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Willaim Colvin

Title

Owner

Phone

(318) 757-4114

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COLVINS PHARMACY Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1346352200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713340669",
            "telephone_number": "318-757-4114",
            "fax_number": "318-757-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342013",
            "telephone_number": "318-757-4114",
            "fax_number": "318-757-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERPROOF DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-757-4114"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.001842-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254932",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLVINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Visions Therapy Services
• Vital Care of Miss-Lou, Inc.
• Davis Beard Walton, DDS
• Ruby Iva Ward, CRNP
• Tonya Taursette Washington
• Kalastika Watson
• Phyllis Wells
• Terry Wells
• Dick Whitaker, OD
• Fabian Lloyd White Jr.

• Community/Retail Pharmacy in Ferriday, LA
• Providers in Ferriday, 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 Jan 10, 2014; 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.