Organization Active NPI

Teche Drugs, Inc.

  • Community/Retail Pharmacy
  • Lafayette, LA
National Provider Identifier
1760479117
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY-006091-IR Issued in LA
Legal business name
TECHE DRUGS, INC.
Practice address
509 Jefferson St
Lafayette, LA 70501-6905
Phone
(337) 235-4578
Fax
(337) 235-4570
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Ryan M DartezNPI 1063554574
Title
President, Owner, Pic,Ao
Phone
(337) 235-4578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY-006091-IR LA Primary

Addresses

Primary practice location

509 Jefferson St
Lafayette, LA 70501-6905

Mailing address

509 Jefferson St
Lafayette, LA 70501-6905
Phone (337) 235-4578

Other identifiers 2

IdentifierTypeStateIssuer
1234931MedicaidLA
2028310OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070905000217 LA Part B Supplier - Mass Immunization (Roster Biller Only) 2567555709 Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

509 Jefferson St
Lafayette, LA 70501
Phone (337) 235-4578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1760479117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 JEFFERSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016905",
            "telephone_number": "337-235-4578",
            "fax_number": "337-235-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 JEFFERSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016905",
            "telephone_number": "337-235-4578",
            "fax_number": "337-235-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECHE DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "DARTEZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, OWNER, PIC,AO",
        "authorized_official_telephone_number": "337-235-4578"
    },
    "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-006091-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234931",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028310",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.