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PHOENIX REXALL DRUGS INC DBA PHOENIX HOME MEDICAL NPI 1578661013


NPI Information

NPI: 1578661013
Provider Name: PHOENIX REXALL DRUGS, INC DBA PHOENIX HOME MEDICAL

Doing Business As: PHOENIX HOME MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
100 E FERTITTA BLVD
LEESVILLE, LA
ZIP 71446
Phone: (337) 238-5114
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PHOENIX REXALL DRUGS, INC DBA PHOENIX HOME MEDICAL is a durable medical equipment medical supplies in Leesville, 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. PHOENIX REXALL DRUGS, INC DBA PHOENIX HOME MEDICAL NPI is 1578661013. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Home Medical.

The provider's business location address is:

100 E FERTITTA BLVD
LEESVILLE, LA
ZIP 71446-737
Phone: (337) 238-5114
Fax: (337) 239-9200

The provider's authorized official is Cynthia G Wann-jeane .
The authorized official title is Owner and has the following contact phone number (337) 238-5114.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 2/6/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336H0001XPharmacyHome Infusion Therapy PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesLOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G7560OTHERLOUISIANABLUE CROSS IV #
22365801MEDICAIDLOUISIANA
30550460001MEDICARE NSC
4C8065OTHERLOUISIANABLUE CROSS FOR DME

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: 11/14/2023

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