Active NPI
Yanceys Drugs Inc
- Pharmacy
- Rayville, LA
National Provider Identifier
1992791404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- YANCEYS DRUGS INC
- Practice address
- 103 Christian Dr
Rayville, LA 71269-3658 - Phone
- (318) 728-4195
- Fax
- (318) 728-3215
- NPI assigned
- Sep 21, 2005
- 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. Mary Spicer, PHARMD
- Title
- Owner Pharmacist
- Phone
- (318) 728-4195
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | LA | Primary | |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
103 Christian Dr
Rayville, LA 71269-3658
Mailing address
PO Box 120
Rayville, LA 71269-0120
Phone (318) 728-4195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1244171 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190905000215 | LA | Part B Supplier - Pharmacy | 6800913336 | Practice locations: Rayville, LA |
National Provider Directory
National Provider DirectoryLocations
103 Christian Dr
Rayville, LA 71269
Phone (318) 728-4195
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rayville, LA
- NPI 1124680111
-
- Pharmacist
- Rayville, LA
- NPI 1427043488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571270400000",
"number": "1992791404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712690120",
"telephone_number": "318-728-4195",
"fax_number": "318-728-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CHRISTIAN DR",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712693658",
"telephone_number": "318-728-4195",
"fax_number": "318-728-3215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YANCEYS DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2019-10-17",
"status": "A",
"authorized_official_last_name": "SPICER",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "318-728-4195",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "LA",
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1244171",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rayville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.