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Ideal Health Mart Pharmacy Inc

Pharmacy in Deridder, LA · enumerated 2007 · authorized official Kesa Lane, Rph/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568510030

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Registry record

Entity type Organization (Type 2)
Legal business name Ideal Health Mart Pharmacy Inc
Other name <Unavail>
Practice address 610 N Pine St, Deridder, LA, 70634
Fax (337) 462-0930
Enumeration date Jan 8, 2007
Last updated in NPPES May 16, 2014

Taxonomy & classification

333600000X Pharmacy Suppliers · License 006477 (LA) Primary

Authorized official

Name Kesa Lane
Title Rph/Owner

Other identifiers

Identifier Type State Issuer
1902801 Other - NCPDP PROVIDER IDENTIFICATION NUMBER
2201344 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ideal Health Mart Pharmacy Inc?
The NPI for Ideal Health Mart Pharmacy Inc is 1568510030, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ideal Health Mart Pharmacy Inc?
NPPES lists Kesa Lane (Rph/Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-16.