PARK PHARMACY
NPI 1619385812
Pharmacy - Community/Retail Pharmacy in Lafayette, LA

Q: What is Park Pharmacy LLC's NPI number?

The NPI number for Park Pharmacy LLC is 1619385812. It was assigned to this organization in the NPPES registry on July 31, 2014. The provider is doing business as Park Pharmacy.

Q: What is Park Pharmacy LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Park Pharmacy LLC was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 31, 2014

4811 AMBASSADOR CAFFERY PKWY STE 101, LAFAYETTE, LA 70508(337) 806-9000(337) 806-9074 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2020, Apr 19, 2017 (2 updates tracked since 2017).

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About Park Pharmacy NPPES

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

PARK PHARMACY (NPI 1619385812) is a healthcare organization registered as a community/retail pharmacy in Lafayette, Louisiana and active in the NPI registry since July 2014. The organization lists Shane Primeaux, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1619385812

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePARK PHARMACY LLC

Location Address4811 AMBASSADOR CAFFERY PKWY STE 101Lafayette, LA 70508-7266

Mailing Address4811 Ambassador Caffery Pkwy Ste 101Lafayette, LA 70508-7266 · (337) 806-9000 · Fax (337) 806-9074

Phone(337) 806-9000

Fax(337) 806-9074

Organization SubpartNo

Authorized OfficialShane PrimeauxOwner/manager · (337) 806-9000

Enumeration DateJuly 31, 2014

Last NPPES UpdateDecember 17, 20202 updates tracked since enumeration

NPPES CertifiedDecember 17, 2020

✔ NPI 1619385812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in LA · PHY006937IR

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.

Also ListedPharmacyTaxonomy 333600000X

4811 AMBASSADOR CAFFERY PKWY STE 101, Lafayette, LA 70508

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Other Names 1

Doing Business AsPark Pharmacy

Other Identifiers 2

Other2147229Pk

Medicaid2202910LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

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.

PARK PHARMACY LLC

Pharmacy (Long Term Care Pharmacy)