Innis Community Health Center, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

INNIS COMMUNITY HEALTH CENTER, INC

Doing business as

Arbor Family Pharmacy - Maringouin

Practice address

77575 Landry Dr
Maringouin, LA 70757-3210

Phone

(225) 618-5015

Fax

(225) 442-3107

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

INNIS COMMUNITY HEALTH CENTER, INCAs reported in NPPES

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

Authorized official

Name

Tomi Leonard

Title

Cfo

Phone

(225) 618-7132

Specialties & licenses 3

Addresses

Other names 1

• Arbor Family Pharmacy - Maringouin Doing business as

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Innis Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Batchelor, LA
  • NPI 1205858388
  NPPES parent name

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1104720069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W NORTHWEST HWY STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513219",
            "telephone_number": "817-572-0009",
            "fax_number": "817-720-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77575 LANDRY DR",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "707573210",
            "telephone_number": "225-618-5015",
            "fax_number": "225-442-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNIS COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNIS COMMUNITY HEALTH CENTER, INC",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "TOMI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-618-7132"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Family Pharmacy - Maringouin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystle Danelle Chase-Circello, PA
• Clifton G. Elliott, LLC (Elliott Pharmacy)
• Chantelle Laura Corrent Johnson, FNP-C
• Marina Brynn Doucet, PA
• Charlotte Marie Goudeau, LM, CPM
• Innis Community Health Center, Inc (Valverda Elementary School)
• Innis Community Health Center, Inc (Maringouin Community Health Center)
• Michelle D James
• Heather Jarreau
• Tamia Monet Jefferson

• Community/Retail Pharmacy in Maringouin, LA
• Providers in Maringouin, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.