Organization Active NPI

Cecilia Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Breaux Bridge, LA
National Provider Identifier
1306998380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
146-IR Issued in LA
Legal business name
CECILIA PHARMACY, INC.
Practice address
1017 Cecilia Bridge Hwy
Breaux Bridge, LA 70517-6801
Phone
(337) 667-6271
Fax
(337) 667-7379
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
George Taylor, R.PH.
Title
Owner
Phone
(337) 667-6271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 146-IR LA Primary

Addresses

Primary practice location

1017 Cecilia Bridge Hwy
Breaux Bridge, LA 70517-6801

Mailing address

PO Box 309
Cecilia, LA 70521-0309
Phone (337) 667-6271

Other identifiers 2

IdentifierTypeStateIssuer
1207721MedicaidLA
1904576OtherLANCPDP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306998380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "CECILIA",
            "state": "LA",
            "postal_code": "705210309",
            "telephone_number": "337-667-6271",
            "fax_number": "337-667-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 CECILIA BRIDGE HWY",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176801",
            "telephone_number": "337-667-6271",
            "fax_number": "337-667-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-667-6271",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "146-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1207721",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1904576",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

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.

Verify at the official NPI Registry.