Thrifty Way Pharmacy of Mamou LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY005901IR Issued in LA

Legal business name

THRIFTY WAY PHARMACY OF MAMOU LLC

Practice address

704 Poinciana Ave
Mamou, LA 70554-2224

Phone

(337) 468-7111

Fax

(337) 468-2111

NPI assigned

Jun 1, 2007

Last updated

Dec 13, 2017By 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

Mr. Amit Jain

Title

Ceo

Phone

(337) 468-7111

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1679775779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542224",
            "telephone_number": "337-468-7111",
            "fax_number": "337-468-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542224",
            "telephone_number": "337-468-7111",
            "fax_number": "337-468-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY WAY PHARMACY OF MAMOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-468-7111",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "PHY005901IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254304",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Michael Savoy, M.D.
• Trinitee Seal, BCBA
• Spot Imaging, LLC
• Sarah Marie Thibodeaux, BCBA
• Skye O Thibodeaux
• Thrifty Way Pharmacy of Mamou LLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3755)
• Wheelchair Equipment and Bracing Specialists LLC
• Women's Clinic of Oakdale, L.L.C. (The Mamou OB-GYN Clinic)
• Women's Medical & Surgical Clinic, Inc.

• Community/Retail Pharmacy in Mamou, LA
• Providers in Mamou, 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 13, 2017; 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.