Organization Active NPI

Yanceys Drugs Inc

  • Pharmacy
  • Rayville, LA
National Provider Identifier
1992791404
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Oct 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mary Spicer, PHARMDNPI 1124680111
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1244171MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190905000215 LA Part B Supplier - Pharmacy 6800913336 Practice locations: Rayville, LA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.