Tasda Properties, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.007688-I Issued in LA

Legal business name

TASDA PROPERTIES, LLC

Practice address

808 Riverside Dr
Franklinton, LA 70438-3634

Phone

(985) 839-4668

Fax

(985) 207-4670

NPI assigned

Jun 7, 2018

Organization subpart

No

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

Authorized official

Name

James Randall Stafford II

Title

Owner

Phone

(985) 839-4668

Specialties & licenses 1

Addresses

Other names 1

• Ideal Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1356834030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704380771",
            "telephone_number": "985-839-4668",
            "fax_number": "985-207-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 RIVERSIDE DR",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383634",
            "telephone_number": "985-839-4668",
            "fax_number": "985-207-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASDA PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-839-4668",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007688-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Franklinton, LA
• Providers in Franklinton, 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 7, 2018; 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.