Active NPI
Green Tree Pharmacies LLC
Doing business as Medithrift Pharmacy
- Community/Retail Pharmacy
- Ponchatoula, LA
National Provider Identifier
1366518466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY.006647-IR
- 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, 2017
- 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
- Jimmy Neil
- Title
- Authorized Official
- Phone
- (985) 386-6550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Gapp Pharmacies LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba West St James Pharmacy
- Community/Retail Pharmacy
- Vacherie, LA
- NPI 1881708865
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.