KAY'S HIDEAWAY PHARMACY, INC. (NPI# 1134145295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134145295 |
| Entity Type | Organization |
| Organization Name | KAY'S HIDEAWAY PHARMACY, INC. |
| Other Organization Name | VITAL CARE OF NORTHEAST LA |
| Practice Address |
4140 Old Sterlington Rd Ste 3 Monroe LA 71203-2629 |
| Mailing Address |
1170 Ne Industrial Park Rd Meridian MS 39301-1100 |
| Practice Telephone | 3183434663 |
| Practice Fax Number | 3173434691 |
| Mailing Telephone | 6014827420 |
| Mailing Fax Number | 6014827490 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | KAY CHANDLER (OWNER) |
| Authorized Official Telephone | 3183434663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
3929 IR | LA | Suppliers |
| N | 333600000X | Pharmacy | 3929 IR | LA | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3929-IR | LA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
3929 IR | LA | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
3929-IR | LA | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
3929-IR | LA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
3929-IR | LA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 3929 IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1265870 | 05 |
| Other Name | Type Code |
|---|---|
| Vital Care of Northeast LA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518074111 | Kay's Hideaway Pharmacy, Inc. | Pharmacy | 504 Finks Hideaway Rd, Suite 4, Monroe, LA 71203-2470 | 2006-08-23 |
| Street Address |
4140 OLD STERLINGTON RD STE 3 |
| City | MONROE |
| State | LA |
| Zip Code | 71203-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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| 1316568835 | Lion Analytical | Durable Medical Equipment & Medical Supplies | 2 Adelake Fare Way, Monroe, NY 10950-7113 | 2020-05-06 |
| 1871059626 | Monroe Hometown Pharmacy West LLC | Durable Medical Equipment & Medical Supplies | 131 W 7th St Unit B, Monroe, WI 53566-3716 | 2019-02-18 |
| 1457826331 | Nu Life Medical Supply | Durable Medical Equipment & Medical Supplies | 1 Rossmoor Dr Ste 140, Monroe, NJ 08831-1596 | 2018-10-08 |
| 1346736113 | Carolinas Medical Center At Home, LLC | Durable Medical Equipment & Medical Supplies | 613 E Roosevelt Blvd Ste 100, Monroe, NC 28112-5124 | 2018-07-05 |
| 1548787104 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 785 State Route 17m Ste 6, Monroe, NY 10950-2629 | 2017-08-24 |
| 1730603143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 475 State Route 17m Ste 3, Monroe, NY 10950-4170 | 2017-07-27 |
| 1346761020 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 5132 Old Charlotte Hwy, Monroe, NC 28110-7342 | 2017-07-03 |
| 1730612904 | Clorthotix & Medix, LLC | Durable Medical Equipment & Medical Supplies | 2111 Justice St, Monroe, LA 71201-3617 | 2017-04-05 |
| 1417499849 | Morgan Voegeli | Durable Medical Equipment & Medical Supplies | 1015 16th Ave, Monroe, WI 53566-1764 | 2016-11-16 |
| 1790138410 | Wright & Filippis, LLC | Durable Medical Equipment & Medical Supplies | 811 N Macomb St Ste B, Monroe, MI 48162-2929 | 2016-07-18 |
| Find all providers in MONROE | ||||
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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.