Active NPI
C & C Drugs, Inc.
Doing business as C & C Vital Care
- Mail Order Pharmacy
- Mandeville, LA
National Provider Identifier
1437162740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- License
- 5616-IR
- 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, 2020
- 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
- J Vallee
- Title
- President
- Phone
- (985) 626-0234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1206687 | Medicaid | LA |
Other names 1
- C & C Vital Care
National Provider Directory
National Provider Directory- Tax ID family
- C C Drugs Inc
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.