Gleaux Rx IV Drip Bar & Med Spa LLC
NPI 1053126672ActiveOrganization· Family Medicine· New Roads, LA
Family Medicine in New Roads, Louisiana, registered in NPPES in February 2025, part of Gleaux Rx IV Drip Bar & Med Spa LLC. The authorized official on file is Crystal Craft, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053126672 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Gleaux Rx IV Drip Bar & Med Spa LLC |
| NPI issued | Feb 11, 2025 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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