CMS-1500 Box 24J / 33a • NPI
1669403697
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
3336C0003X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy
Box 32 Service Location & ZIP+4
1322 ELTON RD, SUITE A, JENNINGS, LA, 70546-4100
✓ 9-Digit EDI 837 ZIP+4 (70546-4100)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1669403697 (HEALTH MART OF JENNINGS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1669403697 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | HEALTH MART OF JENNINGS LLC |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy NUCC Code: 3336C0003X (Pharmacy, Community/Retail Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1322 ELTON RD, SUITE A, JENNINGS, LA, 70546-4100 |
| Practice Telephone / Fax | Tel: (337) 616-9500 | Fax: (337) 616-9555 |
| Administrative Mailing Address | 818 N CUSHING AVE, KAPLAN, LA, 70548-2615 |
| Enumeration & Last Sync | Enumerated: 2006-07-06 | CMS Record Updated: 2015-12-22 |
| Authorized Official | WESLEY DAVID (OWNER AND PRESIDENT) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)
What Does Taxonomy Code 3336C0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HEALTH MART OF JENNINGS LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
3336C0004X — Pharmacy, Compounding PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy | State: N/A | License: Verified | Primary: Secondary |
333600000X — PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy | State: N/A | License: Verified | Primary: Secondary |
3336L0003X — Pharmacy, Long Term Care PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy | State: N/A | License: Verified | Primary: Secondary |
3336C0003X — Pharmacy, Community/Retail PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy | State: LA | License: PHY.005639-IR | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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