NPIMap

Organization Active NPI

C B & Emma LLC

  • Pharmacy
  • Jennings, LA
National Provider Identifier
1356356992
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY.5660-IR Issued in LA
Legal business name
C B & EMMA LLC
Practice address
403 W Plaquemine St
Jennings, LA 70546-5755
Phone
(337) 824-2311
Fax
(337) 824-2312
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Clarence Goodreau, RPH
Title
Owner
Phone
(337) 824-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY.5660-IR LA Primary

Addresses

Primary practice location

403 W Plaquemine St
Jennings, LA 70546-5755

Mailing address

403 W Plaquemine St
Jennings, LA 70546-5755
Phone (337) 824-2311

Other identifiers 1

IdentifierTypeStateIssuer
1906354OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • STEWARTS DRUG STORE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1356356992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W PLAQUEMINE ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465755",
            "telephone_number": "337-824-2311",
            "fax_number": "337-824-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W PLAQUEMINE ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465755",
            "telephone_number": "337-824-2311",
            "fax_number": "337-824-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C B & EMMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "GOODREAU",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-824-2311",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "PHY.5660-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1906354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEWARTS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.