HAYDELS DRUG STORE INC (NPI# 1104930189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104930189 |
| Entity Type | Organization |
| Organization Name | HAYDELS DRUG STORE INC |
| Other Organization Name | HAYDELS DRUG STORE |
| Practice Address |
831 Grand Caillou Rd Houma LA 70363-5882 |
| Practice Telephone | 9858531242 |
| Practice Fax Number | 9858531245 |
| Mailing Telephone | 9858531242 |
| Mailing Fax Number | 9858531245 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ROBERT ROCK (OWNER) |
| Authorized Official Telephone | 9858531242 |
| Authorized Official Credential | BS PHARM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.004183-IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2034397 | 01 | |
| LA | 1266973 | 05 |
| Other Name | Type Code |
|---|---|
| HAYDELS DRUG STORE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487837464 | Haydels Drug Store Inc | Pharmacy | 4752 Highway 311, Ste 100, Houma, LA 70360-2810 | 2007-12-12 |
| 1629172689 | Haydels Drug Store Inc | Pharmacy | 4752 Highway 311 Ste 100, Houma, LA 70360-2810 | 2006-09-12 |
| Street Address |
831 GRAND CAILLOU RD |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-5882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942124 | David Norman | Pharmacist | 831 Grand Caillou Rd, Houma, LA 70363-5882 | 2020-08-13 |
| 1710389291 | Robert P Rock | Pharmacist | 831 Grand Caillou Rd, Houma, LA 70363-5882 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
| Find all providers in zip 70363 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197531 | Green Leaf Dispensary LLC | Pharmacy | 6048 W Park Ave, Houma, LA 70364-1808 | 2019-11-01 |
| 1548730633 | Magnolia Drugs | Pharmacy | 1004 Barrow St, Houma, LA 70360-5606 | 2018-11-30 |
| 1487837464 | Haydels Drug Store Inc | Pharmacy | 4752 Highway 311, Ste 100, Houma, LA 70360-2810 | 2007-12-12 |
| 1215068804 | Walgreen Co | Pharmacy | 5831 W Park Ave, Houma, LA 70364-1424 | 2007-03-08 |
| 1801990742 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 7015 Park Ave, Houma, LA 70364-2850 | 2006-09-12 |
| 1609970516 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 437 Grand Caillou Rd, Houma, LA 70363-5165 | 2006-09-12 |
| 1396750568 | Walgreen Co | Pharmacy | 1435 W Tunnel Blvd, Houma, LA 70360-2738 | 2006-07-29 |
| 1396750550 | Walgreen Co | Pharmacy | 1511 E Tunnel Blvd, Houma, LA 70363-5849 | 2006-07-29 |
| 1427071703 | Louisiana Cvs Pharmacy LLC | Pharmacy | 1727 Martin Luther King Jr Blvd, Houma, LA 70360-2409 | 2006-07-26 |
| 1306471743 | Pharmacy Express LLC | Pharmacy | 1963 Prospect Blvd, Houma, LA 70363-6047 | 2020-03-05 |
| Find all providers in HOUMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.