POINCIANA PHARMACY LLC
NPI 1811219827
Pharmacy - Community/Retail Pharmacy in Mamou, LA

Active since February 17, 2010
1508 CAJUN DR STE A, MAMOU, LA 70554(337) 468-5001(337) 468-5102 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2025, Dec 23, 2024, Mar 28, 2018 and 4 more (7 updates tracked since 2015).

About Poinciana Pharmacy Llc NPPES

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

POINCIANA PHARMACY LLC (NPI 1811219827), doing business as Poinciana Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Mamou, Louisiana and active in the NPI registry since February 2010. The organization lists Robin M Deshotel, Pic, as its authorized official.

NPPES Registry Identity

NPI1811219827
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePOINCIANA PHARMACY LLC
Location Address1508 CAJUN DR STE AMamou, LA 70554-2400
Mailing Address1508 Cajun Dr, Ste AMamou, LA 70554-2400 · (337) 468-5001 · Fax (337) 468-5102
Fax(337) 468-5102
Organization SubpartNo
Authorized OfficialRobin M DeshotelPic · (337) 468-5001
Enumeration DateFebruary 17, 2010
Last NPPES UpdateMay 2, 20257 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
NPI 1811219827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in LA · PHY.006222-IR
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
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License PHY.006222-IR (LA)
1508 CAJUN DR STE A, Mamou, LA 70554

Other Names 1

Doing Business AsPoinciana Pharmacy

Other Identifiers 2

Other2123858Pk
Medicaid1235598LA

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
1508 CAJUN DR STE A
MAMOU, LA 70554

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 Poinciana Pharmacy LLC's NPI number?

The NPI number for Poinciana Pharmacy LLC is 1811219827. It was assigned to this organization in the NPPES registry on February 17, 2010. The provider is doing business as Poinciana Pharmacy.

Where is Poinciana Pharmacy LLC located?

Poinciana Pharmacy LLC is located at 1508 Cajun Dr Ste A, Mamou, LA 70554. The listed phone number is (337) 468-5001.

What is Poinciana Pharmacy LLC's specialty?

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

What insurance does Poinciana Pharmacy LLC accept?

Health plans from Humana, Medica and Moda Health Plan, Inc. list Poinciana 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 Poinciana Pharmacy LLC was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.