NPIMap

Organization Active NPI

Thrift-Town Healthmart, LLC

Doing business as Thrift -Town Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Amite, LA
National Provider Identifier
1780710426
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6164IR Issued in LA
Legal business name
THRIFT-TOWN HEALTHMART, LLC
Doing business as
Thrift -Town Pharmacy
Thrift-Town HealthMart Pharmacy
Practice address
512 N 2ND St
Amite, LA 70422
Phone
(985) 748-8191
Fax
(985) 748-5766
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Evans Ray Glasgow Jr., RPHNPI 1932235884
Title
Owner Pharmacist
Phone
(985) 748-8191

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6164IR LA Primary
Customized Equipment (DME) 332BC3200X 6164IR LA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 6164IR LA
Oxygen Equipment & Supplies (DME) 332BX2000X 6164IR LA
Pharmacy 333600000X 6164 IR LA
Home Infusion Therapy Pharmacy 3336H0001X 6164IR LA
Long Term Care Pharmacy 3336L0003X 6164 LA

Addresses

Primary practice location

512 N 2ND St
Amite, LA 70422

Mailing address

PO Box 918
Amite, LA 70422
Phone (985) 748-8191

Other identifiers 3

IdentifierTypeStateIssuer
1903459OtherNCPDP
6164-IROtherLALA PHARMACY PERMIT
1235245MedicaidLA

Other names 2

  • Thrift -Town Pharmacy Doing business as
  • Thrift-Town HealthMart Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100331000214 LA Part B Supplier - Mass Immunization (Roster Biller Only) 8123154960 Practice locations: Amite, LA
O20100930036505 LA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 8123154960 Practice locations: Amite, LA

National Provider Directory

National Provider Directory
Tax ID family
Thrift-Town Healthmart LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

512 N 2nd St
Amite, LA 70422
Phone (985) 748-8191

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1780710426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "70422",
            "telephone_number": "985-748-8191",
            "fax_number": "985-748-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N 2ND ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "70422",
            "telephone_number": "985-748-8191",
            "fax_number": "985-748-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFT-TOWN HEALTHMART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "EVANS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "985-748-8191",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "6164IR",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "6164IR",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "LA",
            "license": "6164IR",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "6164IR",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "6164 IR",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "LA",
            "license": "6164IR",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "6164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1903459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA PHARMACY PERMIT",
            "identifier": "6164-IR",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235245",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrift -Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrift-Town HealthMart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amite, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.