Barrera Boudreaux & Castellon Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

3927IR Issued in LA

Legal business name

BARRERA BOUDREAUX & CASTELLON INC

Doing business as

C & G Pharmacy

Practice address

9311 Jefferson Hwy
River Ridge, LA 70123

Phone

(504) 738-2277

Fax

(504) 738-2281

NPI assigned

Oct 4, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Joseph Liolino

Title

Secretary Treasurer

Phone

(504) 738-2277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• C & G Pharmacy Doing business as

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1194810101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 JEFFERSON HWY",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "70123",
            "telephone_number": "504-738-2277",
            "fax_number": "504-738-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 JEFFERSON HWY",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "70123",
            "telephone_number": "504-738-2277",
            "fax_number": "504-738-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRERA BOUDREAUX & CASTELLON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "LIOLINO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "504-738-2277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "3927IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1915670",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & G Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Robert Alvey Jr., LPC
• George James Andrews, LPC
• Hailee Athman, LAT, ATC
• Joy Banks
• Tiffany Marie Banye
• Shannon Baudouin, FNP
• Nicole W Bell
• Alexandra Bergeron, BCBA
• Carey Bergeron, LPC
• Keith William Blackman, MD

• Pharmacy in River Ridge, LA
• Providers in River Ridge, LA by specialty
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.