Keh Enterprises, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

3556-IR Issued in LA

Legal business name

KEH ENTERPRISES, INC

Doing business as

Moreau's Drug Store

Practice address

1312 Horridge St
Vinton, LA 70668-4532

Phone

(337) 589-7431

Fax

(337) 589-9995

NPI assigned

Jul 21, 2006

Last updated

Aug 22, 2020By 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

Kirk E Hudson

Title

Owner/Pharmacist

Phone

(337) 589-7431

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Moreau's Drug Store Doing business as

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851311773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 HORRIDGE ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706684532",
            "telephone_number": "337-589-7431",
            "fax_number": "337-589-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 HORRIDGE ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706684532",
            "telephone_number": "337-589-7431",
            "fax_number": "337-589-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEH ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "337-589-7431"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "3556-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1264521",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1901114",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreau's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Vinton, LA
• Providers in Vinton, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.