Thibodeaux's Pharmacy Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

13125 Issued in LA

Legal business name

THIBODEAUX'S PHARMACY INC.

Doing business as

Thibodeaux's Pharmacy Inc.

Practice address

104 Main St
Gueydan, LA 70542-3528

Phone

(337) 536-6115

NPI assigned

May 2, 2007

Last updated

Sep 25, 2007By 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

Mr. Karl Philip Petry, PHARM. D

Title

Pharmacist

Phone

(337) 536-6115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thibodeaux's Pharmacy Inc. Doing business as

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1891916235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "city": "GUEYDAN",
            "state": "LA",
            "postal_code": "705423528",
            "telephone_number": "337-536-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "city": "GUEYDAN",
            "state": "LA",
            "postal_code": "705423528",
            "telephone_number": "337-536-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODEAUX'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "PETRY",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "337-536-6115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "13125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1260622",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thibodeaux's Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health Mart of Gueydan Inc (Health Mart Pharmacy of Gueydan)
• Sherri Hebert, LAC,LCSW
• Kaplan General Hospital, Inc. (Gardiner Center Health Clinic)
• Helen Love, N.P
• Brenda C Sonnier, NP
• Vermilion Parish Hospital Service Dist. #3 (Gardiner Center Health Clinic)
• Vermilion Parish Hospital Service District #3

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.