Organization Active NPI

Chris Pharmacy & Gifts of Port Vincent LLC

Doing business as Chris' Pharmacy in Port Vincent

  • Community/Retail Pharmacy
  • Port Vincent, LA
National Provider Identifier
1053655993
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY006627IR Issued in LA
Legal business name
CHRIS PHARMACY & GIFTS OF PORT VINCENT LLC
Doing business as
Chris' Pharmacy in Port Vincent
Practice address
18590 La Highway 16 Ste 2
Port Vincent, LA 70726-8066
Phone
(225) 267-4350
Fax
(225) 267-4357
NPI assigned
Nov 15, 2012
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Warren WilliamsNPI 1396372306
Title
Owner
Phone
(225) 267-4350

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 PHY006627IR LA Primary

Addresses

Primary practice location

18590 La Highway 16 Ste 2
Port Vincent, LA 70726-8066

Mailing address

PO Box 328
Albany, LA 70711-0328
Phone (225) 267-4350

Other identifiers 2

IdentifierTypeStateIssuer
2201808MedicaidLA
2138026OtherPK

Other names 1

  • Chris' Pharmacy in Port Vincent Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201111001103 LA Part B Supplier - Mass Immunization (Roster Biller Only) 2466862073 Practice locations: Port Vincent, LA

National Provider Directory

National Provider Directory

Locations

18590 LA Highway 16
Ste 2
Port Vincent, LA 70726
Phone (225) 267-4350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1053655993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "ALBANY",
            "state": "LA",
            "postal_code": "707110328",
            "telephone_number": "225-267-4350",
            "fax_number": "225-267-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18590 LA HIGHWAY 16 STE 2",
            "city": "PORT VINCENT",
            "state": "LA",
            "postal_code": "707268066",
            "telephone_number": "225-267-4350",
            "fax_number": "225-267-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS PHARMACY & GIFTS OF PORT VINCENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-267-4350"
    },
    "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": "PHY006627IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201808",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris' Pharmacy in Port Vincent",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chris' Pharmacy in Port Vincent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Vincent, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.