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VIDRINE PHARMACEUTICAL GROUP, LLC
NPI 1043838469
Pharmacy - Compounding Pharmacy in Lake Charles, LA

Active since July 13, 2020
404 E PRIEN LAKE RD, LAKE CHARLES, LA 70601(337) 436-7216 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vidrine Pharmaceutical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDRINE PHARMACEUTICAL GROUP, LLC (NPI 1043838469), doing business as Boudreaux's New Drug Store, is a healthcare organization registered as a compounding pharmacy in Lake Charles, Louisiana and active in the NPI registry since July 2020. The organization lists Jesse Vidrine, Owner, as its authorized official.

NPPES Registry Identity

NPI1043838469
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameVIDRINE PHARMACEUTICAL GROUP, LLC
Location Address404 E PRIEN LAKE RDLake Charles, LA 70601-8507
Mailing Address404 E Prien Lake RdLake Charles, LA 70601-8507 · (337) 436-7216
Phone(337) 436-7216
Organization SubpartYes
Authorized OfficialJesse VidrineOwner · (337) 436-7216
Enumeration DateJuly 13, 2020
Last NPPES UpdateJuly 17, 2020
NPPES CertifiedJuly 17, 2020
✔ NPI 1043838469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
404 E PRIEN LAKE RD, Lake Charles, LA 70601
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Other Names 1

Doing Business AsBoudreaux's New Drug Store

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY LEE TEER PHARMD
Pharmacist
404 E PRIEN LAKE RD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 436-7216
GULF COAST URGENT CARE
Nurse Practitioner
404 E PRIEN LAKE RD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 436-7216
KRISTEN SEAUX PHARMD
Pharmacist
404 E PRIEN LAKE RD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 436-7216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidrine Pharmaceutical Group, LLC's NPI number?

The NPI number for Vidrine Pharmaceutical Group, LLC is 1043838469. It was assigned to this organization in the NPPES registry on July 13, 2020. The provider is doing business as Boudreaux's New Drug Store.

Where is Vidrine Pharmaceutical Group, LLC located?

Vidrine Pharmaceutical Group, LLC is located at 404 E Prien Lake Rd, Lake Charles, LA 70601. The listed phone number is (337) 436-7216.

What is Vidrine Pharmaceutical Group, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Vidrine Pharmaceutical Group, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Vidrine Pharmaceutical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vidrine Pharmaceutical Group, LLC was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.