Active NPI
Gulfcoast Pharmaceuticals
- Durable Medical Equipment & Medical Supplies
- Gonzales, LA
National Provider Identifier
1285857326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GULFCOAST PHARMACEUTICALS
- Practice address
- 1039 E Highway 30
Gonzales, LA 70737-4757 - Phone
- (225) 644-4853
- NPI assigned
- Apr 10, 2007
- 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
- Mr. Clint P Guillot
- Title
- Owner
- Phone
- (225) 644-4853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1039 E Highway 30
Gonzales, LA 70737-4757
Mailing address
PO Box 13524
Alexandria, LA 71315-3524
Phone (318) 445-4477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538680 | 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": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285857326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13524",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713153524",
"telephone_number": "318-445-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 E HIGHWAY 30",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374757",
"telephone_number": "225-644-4853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULFCOAST PHARMACEUTICALS",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUILLOT",
"authorized_official_first_name": "CLINT",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-644-4853",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538680",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, LA
- Madeleine Guerin, M.D.
- Olevia Tennille Guidry
- Robert Joseph Guidry Jr., PHYSICAL THERAPIST
- Tiffany Simoneaux Guidry, LOTR
- Gulfcoast Pharmaceutical Specialty (GPS)
- Gabrielle Alexis Gutierrez, M.S. CF-SLP
- Gus Luis Gutierrez, PT, DPT,OCS, FAAOMPT
- Lucinda Guynes
- Juanita Habisreitinger, RPH
- Chris G Haik, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.