Provider Demographics
NPI:1760428791
Name:THOMAS J ENTERPRISES INC
Entity Type:Organization
Organization Name:THOMAS J ENTERPRISES INC
Other - Org Name:THOMAS J PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:DAU
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-274-9972
Mailing Address - Street 1:11436 S SAINT ANDREWS CIR
Mailing Address - Street 2:CIRCLE
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-5220
Mailing Address - Country:US
Mailing Address - Phone:504-274-9972
Mailing Address - Fax:504-267-3409
Practice Address - Street 1:401 WESTBANK EXPY
Practice Address - Street 2:SUITE 101
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-5642
Practice Address - Country:US
Practice Address - Phone:504-267-3029
Practice Address - Fax:504-267-3409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPHY 004212-IR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1266981Medicaid
1928918OtherNCPDP PROVIDER IDENTIFICATION NUMBER