Organization Active NPI

Green Tree Pharmacies LLC

Doing business as Medithrift Pharmacy

  • Community/Retail Pharmacy
  • Ponchatoula, LA
National Provider Identifier
1366518466
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.006647-IR Issued in LA
Legal business name
GREEN TREE PHARMACIES LLC
Doing business as
Medithrift Pharmacy
Practice address
240 W Pine St
Ponchatoula, LA 70454-3311
Phone
(985) 386-8543
Fax
(985) 386-0786
NPI assigned
Nov 28, 2006
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Jimmy Neil
Title
Authorized Official
Phone
(985) 386-6550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.006647-IR LA Primary

Addresses

Primary practice location

240 W Pine St
Ponchatoula, LA 70454-3311

Mailing address

240 W Pine St
Ponchatoula, LA 70454-3311
Phone (985) 386-8543

Other names 1

  • MEDITHRIFT PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gapp Pharmacies 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.

Locations

240 W Pine St
Ponchatoula, LA 70454
Phone (985) 386-8543

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1366518466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W PINE ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543311",
            "telephone_number": "985-386-8543",
            "fax_number": "985-386-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W PINE ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543311",
            "telephone_number": "985-386-8543",
            "fax_number": "985-386-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN TREE PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "985-386-6550"
    },
    "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.006647-IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDITHRIFT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.