Organization Active NPI

Vital Care of Miss-Lou, Inc.

  • Community/Retail Pharmacy
  • Ferriday, LA
National Provider Identifier
1437542537
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY007013IR Issued in LA
Legal business name
VITAL CARE OF MISS-LOU, INC.
Practice address
131 Doctors Dr
Ferriday, LA 71334-2251
Phone
(318) 757-8711
Fax
(318) 757-8716
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Charles E Maier, RPH
Title
Owner
Phone
(318) 757-8711

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHY007013IR LA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PHY007013IR LA
Community/Retail Pharmacy 3336C0003X PHY007013IR LA Primary
Compounding Pharmacy 3336C0004X PHY007013IR LA
Home Infusion Therapy Pharmacy 3336H0001X PHY007013IR LA

Addresses

Primary practice location

131 Doctors Dr
Ferriday, LA 71334-2251

Mailing address

PO Box 1757
Ferriday, LA 71334-1757
Phone (318) 757-8711

Other identifiers 1

IdentifierTypeStateIssuer
2200551MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1437542537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1757",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713341757",
            "telephone_number": "318-757-8711",
            "fax_number": "318-757-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 DOCTORS DR",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342251",
            "telephone_number": "318-757-8711",
            "fax_number": "318-757-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE OF MISS-LOU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "MAIER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-757-8711",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "PHY007013IR",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "LA",
            "license": "PHY007013IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY007013IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "LA",
            "license": "PHY007013IR",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "LA",
            "license": "PHY007013IR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200551",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferriday, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.