KAY'S HIDEAWAY PHARMACY INC. NPI 1134145295

NPI Information

  • NPI: 1134145295
  • Provider Name: KAY'S HIDEAWAY PHARMACY, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: VITAL CARE OF NORTHEAST LA
  • Address: 4140 OLD STERLINGTON RD
    STE 3
    MONROE, LA
    ZIP 71203
  • Phone: (318) 343-4663

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NPI Details

KAY'S HIDEAWAY PHARMACY, INC. is a durable medical equipment medical supplies in Monroe, LA. The provider is 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. KAY'S HIDEAWAY PHARMACY, INC. NPI is 1134145295. The provider is registered as an organization entity type.
The provider Is Doing Business As Vital Care Of Northeast La.

The provider's business location address is:

4140 OLD STERLINGTON RD
STE 3
MONROE, LA
ZIP 71203-629
Phone: (318) 343-4663
Fax: (317) 343-4691

The provider's authorized official is Kay Chandler .
The authorized official title is Owner and has the following contact phone number (318) 343-4663.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 5/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition3929 IRLOUISIANANo
2333600000XPharmacy3929 IRLOUISIANANo
33336C0003XPharmacyCommunity/Retail Pharmacy3929-IRLOUISIANANo
43336H0001XPharmacyHome Infusion Therapy Pharmacy3929 IRLOUISIANANo
53336L0003XPharmacyLong Term Care Pharmacy3929-IRLOUISIANANo
63336M0002XPharmacyMail Order Pharmacy3929-IRLOUISIANANo
73336S0011XPharmacySpecialty Pharmacy3929-IRLOUISIANANo
8332B00000XDurable Medical Equipment & Medical Supplies3929 IRLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11265870MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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