Organization Active NPI

Heberts Superette Inc

  • Community/Retail Pharmacy
  • Breaux Bridge, LA
National Provider Identifier
1023122009
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.002260IR Issued in LA
Legal business name
HEBERTS SUPERETTE INC
Doing business as
HEBERTS PHARMACY
Practice address
1101 Grand Pointe Ave
Breaux Bridge, LA 70517-3917
Phone
(337) 332-5186
Fax
(337) 332-2661
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phil J Daigle Jr.NPI 1821303785
Title
Pharmacist
Phone
(337) 332-5186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.002260IR LA Primary

Addresses

Primary practice location

1101 Grand Pointe Ave
Breaux Bridge, LA 70517-3917

Mailing address

1101 Grand Pointe Ave
Breaux Bridge, LA 70517-3917
Phone (337) 332-5186

Other identifiers 2

IdentifierTypeStateIssuer
1258733MedicaidLA
2032475OtherPK

Other names 1

  • HEBERTS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1101 Grand Pointe Ave
Breaux Bridge, LA 70517
Phone (337) 332-5186

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1023122009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GRAND POINTE AVE",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173917",
            "telephone_number": "337-332-5186",
            "fax_number": "337-332-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GRAND POINTE AVE",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173917",
            "telephone_number": "337-332-5186",
            "fax_number": "337-332-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBERTS SUPERETTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "337-332-5186",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.002260IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1258733",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEBERTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.