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COTTONPORT CORNER DRUG LLC
NPI 1922372358
Pharmacy - Community/Retail Pharmacy in Cottonport, LA

Active since March 02, 2012CLIA 19D2181916 · Waiver
206 CHOUPIQUE LN, COTTONPORT, LA 71327(318) 876-3665(318) 876-2429 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2017, Dec 22, 2015 (2 updates tracked since 2015).

About Cottonport Corner Drug Llc NPPES

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

COTTONPORT CORNER DRUG LLC (NPI 1922372358) is a healthcare organization registered as a community/retail pharmacy in Cottonport, Louisiana and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Kim Wixson, Mrs., as its authorized official.

NPPES Registry Identity

NPI1922372358
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOTTONPORT CORNER DRUG LLC
Location Address206 CHOUPIQUE LNCottonport, LA 71327-3757
Mailing Address206 Choupique LnCottonport, LA 71327-3757 · (318) 876-3665 · Fax (318) 876-2429
Phone(318) 876-3665
Fax(318) 876-2429
Organization SubpartNo
Authorized OfficialKim WixsonMrs. · (318) 253-2399
Enumeration DateMarch 2, 2012
Last NPPES UpdateApril 13, 20172 updates tracked since enumeration
✔ NPI 1922372358 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 · PHY.006498-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
206 CHOUPIQUE LN, Cottonport, LA 71327
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Other Names 1

Doing Business AsCottonport Corner Drug Llc

Other Identifiers 2

Medicaid2201336LA
Other2134437Pk

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 19D2181916

Cottonport Corner Drug, LLC · Cottonport, LA
Active · expires Apr 13, 2028
CLIA Number19D2181916
Laboratory TypePharmacy
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorKimberly D. Wixon
Laboratory Phone(318) 876-3665
Laboratory LocationCottonport Corner Drug, LLC206 Choupique Lane, Cottonport, LA 71327
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 4

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.
84 services81 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.
44 services44 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Cottonport Corner Drug, LLC carries, from the Medicare DMEPOS supplier directory.

Cottonport Corner Drug, LLC

DMEPOS supplier · Cottonport, LA
✔

Accepts Medicare assignment

Cottonport Corner Drug, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20487011
Medicare Participant SinceOctober 17, 2014
Supplier Location206 Choupique LnCottonport, LA 71327
Phone(318) 876-3665
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

MRS. KIMBERLY DUPUY WIXSON
Pharmacist
206 CHOUPIQUE LN
COTTONPORT, LA 71327
Avoyelles Parish (318) 876-3665
EDDIE'S PHARMACY, INC.
Pharmacy
206 CHOUPIQUE LN
COTTONPORT, LA 71327
Avoyelles Parish (318) 876-3665

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 Cottonport Corner Drug LLC's NPI number?

The NPI number for Cottonport Corner Drug LLC is 1922372358. It was assigned to this organization in the NPPES registry on March 2, 2012.

Where is Cottonport Corner Drug LLC located?

Cottonport Corner Drug LLC is located at 206 Choupique Ln, Cottonport, LA 71327. The listed phone number is (318) 876-3665.

What is Cottonport Corner Drug LLC's specialty?

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

Does Cottonport Corner Drug LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Cottonport Corner Drug, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Cottonport Corner Drug LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2181916) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cottonport Corner Drug 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 47 other insurers list Cottonport Corner Drug 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 Cottonport Corner Drug LLC was last updated on April 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.