Active NPI
Maddi Girl LLC
- Community/Retail Pharmacy
- Delhi, LA
National Provider Identifier
1790257160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ivan Joe Landry, PHARMACIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2206877 | Medicaid | LA |
Other names 1
- DELHI HEALTH CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190318000082 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3274873914 | Practice locations: Delhi, LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Broussard, LA
- NPI 1376954750
-
- Pharmacist
- Delhi, LA
- NPI 1083799910
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.