Thrifty Way Pharmacy of Mamou LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY007406IR Issued in LA

Legal business name

THRIFTY WAY PHARMACY OF MAMOU LLC

Practice address

704 Poinciana Ave
Suite a
Mamou, LA 70554-2224

Phone

(337) 468-7111

Fax

(337) 468-2111

NPI assigned

Mar 3, 2017

Last updated

Jan 31, 2018By 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

Amit Jain

Title

Ceo

Phone

(713) 660-8888

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1992245468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 POINCIANA AVE",
            "address_2": "SUITE A",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542224",
            "telephone_number": "337-468-7111",
            "fax_number": "337-468-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 POINCIANA AVE",
            "address_2": "SUITE A",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542224",
            "telephone_number": "337-468-7111",
            "fax_number": "337-468-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY WAY PHARMACY OF MAMOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-660-8888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "PHY007406IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY007406IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254304",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinitee Seal, BCBA
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• Sarah Marie Thibodeaux, BCBA
• Skye O Thibodeaux
• Thrifty Way Pharmacy of Mamou LLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3755)
• Wheelchair Equipment and Bracing Specialists LLC
• Women's Clinic of Oakdale, L.L.C. (The Mamou OB-GYN Clinic)
• Women's Medical & Surgical Clinic, Inc.
• Women's Medical & Surgical Clinic, Inc. (Mamou Ob.Gyn. & Family Health Center)

• Community/Retail Pharmacy in Mamou, LA
• Providers in Mamou, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.