Active NPI
Church Point Community Pharmacy
- Long Term Care Pharmacy
- Church Point, LA
National Provider Identifier
1124685763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1271918 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI 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
- Chad Bodin, R.P.H.
- Eric Jarsin Boudreaux, O.D.
- Marjorie L Bourgeois, PT05/12/1946
- Braden Guidry, PT, LLC
- Martin Shawn Briggs, DDS
- Church Point Drug Inc (Church Point Pharmacy)
- Church Point Medical Clinic LLC
- Church Point Primary Care, LLC
- Jacob Michael Clement, MD
- CLHG-Acadian LLC (Church Point Medical Clinic by AMC)
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.