Pelican Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PELICAN MEDICAL SUPPLY

Practice address

1303 Canal Blvd
Thibodaux, LA 70301-5217

Phone

(985) 227-7800

Fax

(985) 227-9266

NPI assigned

May 22, 2012

Last updated

Jul 23, 2024By 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

Valerie Ann Adair

Title

Owner

Phone

(985) 227-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricky Charles Melancon, D.C.

  • Chiropractor
  • Houma, LA
  • NPI 1528069770
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1700146933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015217",
            "telephone_number": "985-227-7800",
            "fax_number": "985-227-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015217",
            "telephone_number": "985-227-7800",
            "fax_number": "985-227-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-227-7800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324314",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Patterson, MS
• Paul L Monier MD LLC
• Tara Payne, PHD, LPC
• Ashley Danielle Peairs, M.D.
• Casey Dufrene Pech, FNP-C
• Angela Pitre Pellegrin, M.A., LPC
• Claire Thibodeaux Pellegrin, SCHOOL PSYCHOLOGIST
• Peltier - Lawless Developmental Center
• Peltier - Lawless Developmental Center
• Peltier - Lawless Developmental Center

• Durable Medical Equipment & Medical Supplies in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.