NPIMap

Organization Active NPI

Claiborne Drugstore LLC

  • Long Term Care Pharmacy
  • Homer, LA
National Provider Identifier
1215883145
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CLAIBORNE DRUGSTORE LLC
Practice address
822 W Main St Ste a
Homer, LA 71040-3324
Phone
(318) 927-6089
Fax
(318) 252-3212
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Mr. Oluwafemi Adegboyega
Title
Owner
Phone
(318) 927-6089

Specialties & licenses 1

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

Addresses

Primary practice location

822 W Main St Ste a
Homer, LA 71040-3324

Mailing address

822 W Main St Ste a
Homer, LA 71040-3324
Phone (318) 927-6089

National Provider Directory

National Provider Directory
Tax ID family
Claiborne Drugstore LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

822 W Main St
Ste A
Homer, LA 71040
Phone (318) 927-6089

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1215883145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W MAIN ST STE A",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403324",
            "telephone_number": "318-927-6089",
            "fax_number": "318-252-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W MAIN ST STE A",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403324",
            "telephone_number": "318-927-6089",
            "fax_number": "318-252-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE DRUGSTORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "ADEGBOYEGA",
        "authorized_official_first_name": "OLUWAFEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-927-6089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.