Organization Active NPI

Shute's Pharmacy LLC

  • Community/Retail Pharmacy
  • Opelousas, LA
National Provider Identifier
1053441246
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1013-IR Issued in LA
Legal business name
SHUTE'S PHARMACY LLC
Doing business as
Shute's Pharmacy LLC
Practice address
205 N Main St
Opelousas, LA 70570-6256
Phone
(337) 942-2611
Fax
(337) 942-8640
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Dawanna M Werger, RPH/PIC
Title
Owner
Phone
(337) 942-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1013-IR LA Primary

Addresses

Primary practice location

205 N Main St
Opelousas, LA 70570-6256

Mailing address

205 N Main St
Opelousas, LA 70570-6256
Phone (337) 942-2611

Other identifiers 1

IdentifierTypeStateIssuer
1238651MedicaidLA

Other names 1

  • Shute's Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

205 N Main St
Opelousas, LA 70570
Phone (337) 942-2611

Practitioners & affiliated clinicians

Practitioners 1

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1053441246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N MAIN ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706256",
            "telephone_number": "337-942-2611",
            "fax_number": "337-942-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MAIN ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706256",
            "telephone_number": "337-942-2611",
            "fax_number": "337-942-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUTE'S PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "WERGER",
        "authorized_official_first_name": "DAWANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-942-2611",
        "authorized_official_credential": "RPH/PIC"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "1013-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1238651",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shute's Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.