Active NPI
Vital Care of Miss-Lou, Inc.
- Community/Retail Pharmacy
- Ferriday, LA
National Provider Identifier
1437542537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY007013IR
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2200551 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI 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.