NPIMap

Organization Active NPI

Ted's Pharmacy

  • Pharmacist
  • Haynesville, LA
National Provider Identifier
1366582983
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5750IR Issued in LA
Legal business name
TED'S PHARMACY
Practice address
1866 Main St
Haynesville, LA 71038-4904
Phone
(318) 624-1053
Fax
(318) 624-2233
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Dan T Ware, RPHNPI 1801388921
Title
Pharmacist
Phone
(318) 624-1053

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5750IR LA Primary

Addresses

Primary practice location

1866 Main St
Haynesville, LA 71038-4904

Mailing address

1866 Main St
Haynesville, LA 71038-4904
Phone (318) 624-1053

National Provider Directory

National Provider Directory

Locations

1866 Main St
Haynesville, LA 71038
Phone (318) 624-1053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1366582983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 MAIN ST",
            "city": "HAYNESVILLE",
            "state": "LA",
            "postal_code": "710384904",
            "telephone_number": "318-624-1053",
            "fax_number": "318-624-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 MAIN ST",
            "city": "HAYNESVILLE",
            "state": "LA",
            "postal_code": "710384904",
            "telephone_number": "318-624-1053",
            "fax_number": "318-624-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "318-624-1053",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "5750IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haynesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.