Ideal Health Mart Pharmacy Inc
NPI 1568510030 · Pharmacy · Deridder, LA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ideal Health Mart Pharmacy Inc is a Pharmacy organization in Deridder, LA (NPI 1568510030).
Provider details
- NPI number
- 1568510030
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kesa Lane, Rph/Owner(337) 463-7210
- License
- 006477 (LA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ideal Health Mart
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2014-05-16
Frequently asked questions
- What is Ideal Health Mart Pharmacy Inc's NPI number?
- Ideal Health Mart Pharmacy Inc's National Provider Identifier (NPI) is 1568510030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ideal Health Mart Pharmacy Inc?
- Ideal Health Mart Pharmacy Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Ideal Health Mart Pharmacy Inc located?
- Ideal Health Mart Pharmacy Inc's practice location on file with NPPES is 610 N Pine St, Deridder, LA 70634-3546.
- What is Ideal Health Mart Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Ideal Health Mart Pharmacy Inc is (337) 463-7210.
- Does Ideal Health Mart Pharmacy Inc accept Medicare?
- Ideal Health Mart Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ideal Health Mart Pharmacy Inc?
- The authorized official listed on Ideal Health Mart Pharmacy Inc's NPPES record is Kesa Lane, Rph/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ideal Health Mart Pharmacy Inc's NPI active?
- Yes — Ideal Health Mart Pharmacy Inc's NPI (1568510030) is active in the NPPES registry as of the last update on 2014-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.