Organization Active NPI

Haydels Drug Store Inc

Doing business as Haydels Drug Store St Charles

  • Community/Retail Pharmacy
  • Houma, LA
National Provider Identifier
1306712294
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HAYDELS DRUG STORE INC
Doing business as
Haydels Drug Store St Charles
Practice address
1297 Saint Charles St Ste E
Houma, LA 70360-2869
Phone
(985) 219-7979
Fax
(985) 879-2967
NPI assigned
Oct 16, 2025
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Mr. Robert Paul Rock, RPHNPI 1710389291
Title
Pharmacist-President
Phone
(985) 219-7979

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 1

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

Addresses

Primary practice location

1297 Saint Charles St Ste E
Houma, LA 70360-2869

Mailing address

1297 Saint Charles St Ste E
Houma, LA 70360-2869
Phone (985) 219-7979

Other names 1

  • HAYDELS DRUG STORE ST CHARLES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210106001282 LA Part B Supplier - Mass Immunization (Roster Biller Only) 4880007129 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houma, LA
O20260323001690 LA Part B Supplier - Pharmacy 4880007129 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houma, LA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Haydels Drug Store Inc2 organizations share this tax ID, including this one
Part of
Haydels Drug Store Inc

Other organizations with this tax ID 1

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

Locations

1297 Saint Charles St
Ste E
Houma, LA 70360
Phone (985) 219-7979

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": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1306712294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 SAINT CHARLES ST STE E",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602869",
            "telephone_number": "985-219-7979",
            "fax_number": "985-879-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 SAINT CHARLES ST STE E",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602869",
            "telephone_number": "985-219-7979",
            "fax_number": "985-879-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDELS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST-PRESIDENT",
        "authorized_official_telephone_number": "985-219-7979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAYDELS DRUG STORE ST CHARLES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.