Active NPI
Vaughans City Drugs of Concordia Inc.
- Community/Retail Pharmacy
- Ferriday, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5305IR
- Legal business name
- VAUGHANS CITY DRUGS OF CONCORDIA INC.
- Practice address
- 109 Ee Wallace Blvd N
Ferriday, LA 71334-2819 - Phone
- (318) 757-4811
- Fax
- (318) 757-4439
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher L Vaughan, RPH
- Title
- Owner
- Phone
- (318) 757-4811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5305IR | LA | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
109 Ee Wallace Blvd N
Ferriday, LA 71334-2819
Mailing address
109 Ee Wallace Blvd
Ferriday, LA 71334-2806
Phone (318) 757-4811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1271993 | Medicaid | LA |
Other names 1
- Vaughans City Drugs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090915000679 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8426104589 | Practice locations: Ferriday, LA |
| O20110524000321 | LA | DME Supplier - Pharmacy | 8426104589 | Practice locations: Ferriday, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Vaughan'S City Drug | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
109 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 757-4811
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Ferriday, LA
- NPI 1760770044
-
- Pharmacist
- Ferriday, LA
- NPI 1427279652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732406400000",
"number": "1366504169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 EE WALLACE BLVD",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713342806",
"telephone_number": "318-757-4811",
"fax_number": "318-757-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 EE WALLACE BLVD N",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713342819",
"telephone_number": "318-757-4811",
"fax_number": "318-757-4439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAUGHANS CITY DRUGS OF CONCORDIA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2024-11-24",
"certification_date": "2024-11-24",
"status": "A",
"authorized_official_last_name": "VAUGHAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-757-4811",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "LA",
"license": "5305IR",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1271993",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vaughans City Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ferriday, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.