Organization Active NPI

C & C Drugs, Inc.

Doing business as C & C Vital Care

  • Mail Order Pharmacy
  • Mandeville, LA
National Provider Identifier
1437162740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
5616-IR Issued in LA
Legal business name
C & C DRUGS, INC.
Doing business as
C & C Vital Care
Practice address
1705 Highway 59
Suite 4
Mandeville, LA 70448-1950
Phone
(985) 626-0234
NPI assigned
Aug 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
J Vallee
Title
President
Phone
(985) 626-0234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 5616-IR LA Primary

Addresses

Primary practice location

1705 Highway 59
Suite 4
Mandeville, LA 70448-1950

Mailing address

PO Box 5047
Meridian, MS 39302-5047

Other identifiers 1

IdentifierTypeStateIssuer
1206687MedicaidLA

Other names 1

  • C & C Vital Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
C C Drugs Inc2 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

1705 Highway 59
Ste 4
Mandeville, LA 70448
Phone (985) 626-0234

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437162740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 HIGHWAY 59",
            "address_2": "SUITE 4",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704481950",
            "telephone_number": "985-626-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALLEE",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-626-0234"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "LA",
            "license": "5616-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1206687",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & C Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.