Enicke Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY006486IR Issued in LA

Legal business name

ENICKE ENTERPRISES INC

Doing business as

Eastins Pharmacy

Practice address

1535 W Main St
Suite 2
Ville Platte, LA 70586-2867

Phone

(337) 363-6668

Fax

(337) 363-5072

NPI assigned

Feb 8, 2007

Last updated

Sep 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jana Enicke

Title

Owner/Pharmacist in Charge

Phone

(337) 831-5137

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Eastins Pharmacy Doing business as

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1649311333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862867",
            "telephone_number": "337-363-6668",
            "fax_number": "337-363-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862867",
            "telephone_number": "337-363-6668",
            "fax_number": "337-363-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENICKE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "ENICKE",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "337-831-5137"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY006486IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133677",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201352",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1262587",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastins Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Dupre
• Robert Eastin Jr.
• Erica Edwards
• Emerge Pulse Medical Services LLC
• Emergency Group of St Landry LLC
• Jana C Enicke
• Evangeline Arc Respite Center
• Evangeline Association for Retarded Citizens Respite Center
• Evangeline Association for Retarded Citizens Respite Center
• Evangeline Council on Aging

• Community/Retail Pharmacy in Ville Platte, LA
• Providers in Ville Platte, 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 Sep 18, 2014; 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.