Windfall Real Estate Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY001123IR Issued in LA

Legal business name

WINDFALL REAL ESTATE CORP

Doing business as

JAGNEAUXS THRIFTY WAY

Practice address

17695 Highway 190
Port Barre, LA 70577-5178

Phone

(337) 585-2382

Fax

(337) 585-2385

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Cynthia Jagneaux

Title

Owner

Phone

(337) 585-2382

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• JAGNEAUXS THRIFTY WAY Doing business as

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1437228772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "PORT BARRE",
            "state": "LA",
            "postal_code": "705770550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17695 HIGHWAY 190",
            "city": "PORT BARRE",
            "state": "LA",
            "postal_code": "705775178",
            "telephone_number": "337-585-2382",
            "fax_number": "337-585-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDFALL REAL ESTATE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "JAGNEAUX",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-585-2382"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY001123IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029798",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1241229",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAGNEAUXS THRIFTY WAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quality Care Providers of Louisiana, L.L.C.
• Tate Primary Care LLC
• Eliza Tate, MD
• Thrifty Way of Louisiana
• Lisa B Whipp

• Community/Retail Pharmacy in Port Barre, LA
• Providers in Port Barre, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.