Organization Active NPI

Kastak Services, L.L.C.

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1083889018
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KASTAK SERVICES, L.L.C.
Practice address
5383 Jones Creek Rd Ste B
Baton Rouge, LA 70817-2126
Phone
(225) 214-0133
Fax
(225) 214-0136
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Kiley Simoneaux, PHARM.D.NPI 1972887735
Title
Owner/Pharmacist
Phone
(225) 214-0133

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5383 Jones Creek Rd Ste B
Baton Rouge, LA 70817-2126

Mailing address

5383 Jones Creek Rd Ste B
Baton Rouge, LA 70817-2126
Phone (225) 214-0133

Other identifiers 1

IdentifierTypeStateIssuer
2203762MedicaidLA

Other names 1

  • Cypress Pharmacy #2 Doing business as

National Provider Directory

National Provider Directory

Locations

5383 Jones Creek Rd
#B
Baton Rouge, LA 70817
Phone (225) 214-0133

6576 Jones Creek Rd
Ste B
Baton Rouge, LA 70817

6576 Jones Creek Rd
Baton Rouge, LA 70817

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": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1083889018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 JONES CREEK RD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172126",
            "telephone_number": "225-214-0133",
            "fax_number": "225-214-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 JONES CREEK RD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172126",
            "telephone_number": "225-214-0133",
            "fax_number": "225-214-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASTAK SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "SIMONEAUX",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "225-214-0133",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203762",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.