Health Mart of Gueydan Inc
Organization Active NPI Community/Retail Pharmacy · Gueydan, LA
NPI 1922030154 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1922030154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 006339 (LA)
- Legal business name
- HEALTH MART OF GUEYDAN INC
- Practice address
- 200 Main St
Gueydan, LA 70542-3530 - Phone
- (337) 536-9600
- Fax
- (337) 536-9933
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Tisha Dupree, RPH
- Title
- Owner/Pic
- Phone
- (337) 536-9600
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Health Mart of Gueydan Inc |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessori… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930085263 | LA | DME Supplier - Pharmacy |
5496968836 | Practice locations: Gueydan, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 006339 | LA | Yes |
Addresses
Primary practice location
200 Main St
Gueydan, LA 70542-3530
Mailing address
200 Main St
Gueydan, LA 70542-3530
Phone (337) 536-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128217 | Other | PK | |
| 2200895 | Medicaid | LA |
Other names
- Health Mart Pharmacy of Gueydan
Other providers in Gueydan, LA
- Wesley J. David
- Gueydan RX Inc
- Angela L Hardee
- Sherri Hebert
- Kaplan General Hospital, Inc.
- Helen Love
- Brenda C Sonnier
- Thibodeaux'S Pharmacy Inc.
All providers in Gueydan, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.