Ideal Health Mart Pharmacy Inc
NPI 1568510030ActiveOrganization· Pharmacy· Deridder, LA
Pharmacy in Deridder, Louisiana, registered in NPPES in January 2007. The authorized official on file is Kesa Lane, Rph/Owner. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1568510030 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2007 |
| Last updated in NPPES | May 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 006477 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (LA) |
|---|
Other Pharmacy providers in Deridder
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