Deshotels Drugs, Inc
Organization Active NPI Community/Retail Pharmacy · Mamou, LA
NPI 1326175993 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1326175993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY.003144-IR (LA)
- Legal business name
- DESHOTELS DRUGS, INC
- Practice address
- 900 6TH St
Mamou, LA 70554-3122 - Phone
- (337) 468-5402
- Fax
- (337) 468-2719
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Kathleen Fontenot, RPH
- Title
- Pharmacist/Owner
- Phone
- (337) 468-5402
Practitioners 2
-
Karen M Fontenot, RPH
-
Kathleen Fontenot, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Deshotels Drugs Inc |
Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053498 | LA | DME Supplier - Pharmacy |
8022138049 | Practice locations: Mamou, LA |
National Provider Directory
Locations
900 6th St
Mamou, LA 70554
Phone (337) 459-2189
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY.003144-IR | LA | Yes |
| Long Term Care Pharmacy | 3336L0003X | PHY.003144-IR | LA |
Addresses
Primary practice location
900 6TH St
Mamou, LA 70554-3122
Mailing address
900 6TH St
Mamou, LA 70554-3122
Phone (337) 468-5402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1262579 | Medicaid | LA |
Other providers in Mamou, LA
- Rebecca Reed Cormier
- Haley Monette Deshotel
- Katie Brooke Deshotel
- Rainee R Deshotel
- Robin Mark Deshotel
- Mary Amelia Duncan
- Dungarvin Louisiana, LLC
- Christina Duplechin
- Michael Rhett Dupuis
- Elvin Reed & Phyllis Vidrine
All providers in Mamou, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.