Organization Active NPI

Maddi Girl LLC

  • Community/Retail Pharmacy
  • Delhi, LA
National Provider Identifier
1790257160
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MADDI GIRL LLC
Doing business as
DELHI HEALTH CENTER
Practice address
414 Broadway St
Delhi, LA 71232-2940
Phone
(318) 878-5104
Fax
(318) 878-3291
NPI assigned
Dec 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Mr. Ivan Joe Landry, PHARMACISTNPI 1376954750
Title
Owner/Manager
Phone
(318) 878-5104

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

414 Broadway St
Delhi, LA 71232-2940

Mailing address

414 Broadway St
Delhi, LA 71232-2940
Phone (318) 878-5104

Other identifiers 1

IdentifierTypeStateIssuer
2206877MedicaidLA

Other names 1

  • DELHI HEALTH CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190318000082 LA Part B Supplier - Mass Immunization (Roster Biller Only) 3274873914 Practice locations: Delhi, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1790257160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322940",
            "telephone_number": "318-878-5104",
            "fax_number": "318-878-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322940",
            "telephone_number": "318-878-5104",
            "fax_number": "318-878-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDI GIRL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2025-06-10",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "318-878-5104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206877",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELHI HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DELHI HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delhi, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.