Organization Active NPI

Breaux's Pharmacy, LLC.

  • Community/Retail Pharmacy
  • Vinton, LA
National Provider Identifier
1306494463
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BREAUX'S PHARMACY, LLC.
Practice address
1301 Horridge St
Vinton, LA 70668-4531
Phone
(337) 324-7017
Fax
(337) 324-7023
NPI assigned
Aug 30, 2019
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Tamara Breaux, PHARMDNPI 1922398296
Title
Owner
Phone
(337) 661-1542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1301 Horridge St
Vinton, LA 70668-4531

Mailing address

4395 Highway 108 W
Sulphur, LA 70665-8457
Phone (337) 661-1542

Other identifiers 1

IdentifierTypeStateIssuer
2207270MedicaidLA

National Provider Directory

National Provider Directory

Locations

1301 Horridge St
Vinton, LA 70668
Phone (337) 324-7017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1306494463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 HIGHWAY 108 W",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706658457",
            "telephone_number": "337-661-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HORRIDGE ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706684531",
            "telephone_number": "337-324-7017",
            "fax_number": "337-324-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAUX'S PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-661-1542",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207270",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.