Health Mart of Jennings LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.005639-IR Issued in LA

Legal business name

HEALTH MART OF JENNINGS LLC

Practice address

1322 Elton Rd
Suite a
Jennings, LA 70546-4100

Phone

(337) 616-9500

Fax

(337) 616-9555

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Wesley David, RPH

Title

Owner and President

Phone

(337) 616-9500

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• HEALTH MART PHARMACY OF JENNINGS Doing business as

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1669403697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N CUSHING AVE",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705482615",
            "telephone_number": "337-643-7952",
            "fax_number": "337-643-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "SUITE A",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "337-616-9500",
            "fax_number": "337-616-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MART OF JENNINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "337-616-9500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.005639-IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1233994",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH MART PHARMACY OF JENNINGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Heinen Wellness LLC
• Samuel Joseph Heinen, P.T.

• Community/Retail Pharmacy in Jennings, LA
• Providers in Jennings, 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 Dec 22, 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.