Organization Active NPI

Gremillions Drug Store Inc.

  • Community/Retail Pharmacy
  • Crowley, LA
National Provider Identifier
1215014857
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GREMILLIONS DRUG STORE INC.
Practice address
401 N Parkerson Ave
Crowley, LA 70526-5004
Phone
(337) 783-5755
Fax
(337) 783-6031
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Mrs. Laura Rosenbaum
Title
President
Phone
(337) 783-5755

Specialties & licenses 1

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

Addresses

Primary practice location

401 N Parkerson Ave
Crowley, LA 70526-5004

Mailing address

401 N Parkerson Ave
Crowley, LA 70526-5004
Phone (337) 783-5755

Other identifiers 1

IdentifierTypeStateIssuer
1218456MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160226001796 LA Part B Supplier - Mass Immunization (Roster Biller Only) 3779603915 Practice locations: Crowley, LA

National Provider Directory

National Provider Directory

Locations

401 N Parkerson Ave
Crowley, LA 70526
Phone (337) 783-5755

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1215014857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N PARKERSON AVE",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705265004",
            "telephone_number": "337-783-5755",
            "fax_number": "337-783-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N PARKERSON AVE",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705265004",
            "telephone_number": "337-783-5755",
            "fax_number": "337-783-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREMILLIONS DRUG STORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-783-5755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1218456",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.