Organization Active NPI

Church Point Community Pharmacy

  • Long Term Care Pharmacy
  • Church Point, LA
National Provider Identifier
1124685763
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CHURCH POINT COMMUNITY PHARMACY
Practice address
731 S Main St
Church Point, LA 70525-4109
Phone
(337) 684-1911
NPI assigned
May 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Chad Bodin
Title
Owner/Pharmacist
Phone
(337) 684-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

731 S Main St
Church Point, LA 70525-4109

Mailing address

PO Box 130
Church Point, LA 70525-0130
Phone (337) 684-1911

Other identifiers 1

IdentifierTypeStateIssuer
1271918MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1124685763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705250130",
            "telephone_number": "337-684-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S MAIN ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254109",
            "telephone_number": "337-684-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH POINT COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "BODIN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "337-684-1911"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271918",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Church Point, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.