BAYOU PHARMACY
NPI 1629304183
Pharmacy - Community/Retail Pharmacy in Irvington, AL

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

The NPI number for Bayou Pharmacy LLC is 1629304183. It was assigned to this organization in the NPPES registry on October 19, 2009. The provider is doing business as Bayou Pharmacy.

Q: What is Bayou Pharmacy LLC's specialty?

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

Active since October 19, 2009CLIA 01D2190611 · Waiver

12855 PADGETT SWITCH RD, IRVINGTON, AL 36544(251) 824-7979(251) 824-7989 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2017, Mar 30, 2016 (2 updates tracked since 2016).

On this page

About Bayou Pharmacy NPPES

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

BAYOU PHARMACY (NPI 1629304183) is a healthcare organization registered as a community/retail pharmacy in Irvington, Alabama and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Charles Cottrell, President/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1629304183

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBAYOU PHARMACY LLC

Location Address12855 PADGETT SWITCH RDIrvington, AL 36544-4015

Mailing AddressPo Box 129Grand Bay, AL 36541-0129 · (251) 865-1040 · Fax (251) 865-1041

Phone(251) 824-7979

Fax(251) 824-7989

Organization SubpartNo

Authorized OfficialCharles CottrellPresident/pharmacist · (251) 824-7979

Enumeration DateOctober 19, 2009

Last NPPES UpdateOctober 18, 20242 updates tracked since enumeration

NPPES CertifiedOctober 18, 2024

✔ NPI 1629304183 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 AL · 113326

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

12855 PADGETT SWITCH RD, Irvington, AL 36544

Open in Google Maps ↗

Other Names 1

Doing Business AsBayou Pharmacy

Other Identifiers 2

Medicaid114666AL

Other2122525Pk

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2190611

Bayou Pharmacy Bayou Pharmacy LLC · Irvington, AL

Active · expires Aug 16, 2026

CLIA Number01D2190611

Laboratory TypePharmacy

Certificate Effective DateAugust 17, 2024

Certificate Expiration DateAugust 16, 2026

Laboratory DirectorDr. Rubesh Patel

Laboratory Phone(251) 824-7979

Laboratory LocationBayou Pharmacy Bayou Pharmacy LLC12855 Padgett Switch, Irvington, AL 36544

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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 pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

45 services42 patients

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.

35 services35 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.

29 services29 patients

Other Providers at the Same Location NPPES

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

DR. RUBESH PATEL PHARM D

Pharmacist

12855 PADGETT SWITCH RD
IRVINGTON, AL 36544

Mobile County (251) 824-7979

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 Bayou Pharmacy LLC's NPI number?

The NPI number for Bayou Pharmacy LLC is 1629304183. It was assigned to this organization in the NPPES registry on October 19, 2009. The provider is doing business as Bayou Pharmacy.

Where is Bayou Pharmacy LLC located?

Bayou Pharmacy LLC is located at 12855 Padgett Switch Rd, Irvington, AL 36544. The listed phone number is (251) 824-7979.

What is Bayou Pharmacy LLC's specialty?

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

Does Bayou Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2190611) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bayou Pharmacy 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 48 other insurers list Bayou Pharmacy 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 Bayou Pharmacy LLC was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.