Active NPI
Chad Bodin, R.P.H.
- Pharmacist
- Church Point, LA
National Provider Identifier
1295126159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16380
- Practice address
- 731 S Main St
Church Point, LA 70525-4109 - Phone
- (337) 684-1911
- Fax
- (337) 684-1912
- NPI assigned
- Feb 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16380 | LA | Primary |
Addresses
Primary practice location
731 S Main St
Church Point, LA 70525-4109
Mailing address
731 S Main St
Church Point, LA 70525-4109
Phone (337) 684-1911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16380 | Other | LA | LOUISIANA BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16380 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1295126159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 S MAIN ST",
"city": "CHURCH POINT",
"state": "LA",
"postal_code": "705254109",
"telephone_number": "337-684-1911",
"fax_number": "337-684-1912"
},
{
"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",
"fax_number": "337-684-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODIN",
"first_name": "CHAD",
"credential": "R.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-13",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA BOARD OF PHARMACY",
"identifier": "16380",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Church Point, LA
- Nicole Doucet Alleman, RPH
- Barousse Family Clinic LLC
- Bayou Family Healthcare LLC (Church Point Family Care Center)
- Bec Vision, LLC (LA Eye & Vision Center)
- Denise Bertrand, O.T.
- Eric Jarsin Boudreaux, O.D.
- Marjorie L Bourgeois, PT05/12/1946
- Braden Guidry, PT, LLC
- Martin Shawn Briggs, DDS
- Church Point Community Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.