PONCHATOULA FAMILY PHARMACY LLC
NPI 1447821863
Pharmacy - Community/Retail Pharmacy in Ponchatoula, LA

Q: What is Ponchatoula Family Pharmacy LLC's NPI number?

The NPI number for Ponchatoula Family Pharmacy LLC is 1447821863. It was assigned to this organization in the NPPES registry on July 7, 2021.

Q: What is Ponchatoula Family Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since July 07, 2021

19008 HIGHWAY 22, PONCHATOULA, LA 70454(985) 386-6556(985) 386-6552 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2025, Oct 19, 2021, Jul 7, 2021 (3 updates tracked since 2021).

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About Ponchatoula Family Pharmacy Llc NPPES

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

PONCHATOULA FAMILY PHARMACY LLC (NPI 1447821863) is a healthcare organization registered as a community/retail pharmacy in Ponchatoula, Louisiana and active in the NPI registry since July 2021. The organization lists Dana Antoon, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1447821863

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePONCHATOULA FAMILY PHARMACY LLC

Location Address19008 HIGHWAY 22Ponchatoula, LA 70454-6780

Mailing Address1812 W Thomas StHammond, LA 70401-2945 · (985) 345-4767 · Fax (985) 345-4768

Phone(985) 386-6556

Fax(985) 386-6552

Organization SubpartNo

Authorized OfficialDana AntoonOwner/manager · (985) 345-4767

Enumeration DateJuly 7, 2021

Last NPPES UpdateFebruary 21, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2025

✔ NPI 1447821863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

19008 HIGHWAY 22, Ponchatoula, LA 70454

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Other Identifiers 1

Medicaid2208748LA

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ponchatoula Family Pharmacy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateLouisianaEnrollment IDO20211013000493Non-DME Part B · PharmacyDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

22 services21 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

19 services19 patients

Other Providers at the Same Location NPPES 5

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

PONCHATOULA FAMILY PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)