Organization Active NPI

Larroque Pharmacy Inc

Doing business as Larroque Pharmacy

  • Community/Retail Pharmacy
  • Jeanerette, LA
National Provider Identifier
1356484414
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY002587IR Issued in LA
Legal business name
LARROQUE PHARMACY INC
Doing business as
Larroque Pharmacy
Practice address
1305 Main St
Jeanerette, LA 70544-3640
Phone
(337) 276-5001
Fax
(337) 276-4202
NPI assigned
Feb 15, 2007
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Jacques Larroque
Title
Owner
Phone
(337) 276-5001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY002587IR LA Primary

Addresses

Primary practice location

1305 Main St
Jeanerette, LA 70544-3640

Mailing address

1305 Main St
Jeanerette, LA 70544-3640
Phone (337) 276-5001

Other identifiers 2

IdentifierTypeStateIssuer
1260495MedicaidLA
2028749OtherPK

Other names 1

  • LARROQUE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210628002936 LA DME Supplier - Pharmacy 0840606612 Practice locations: Jeanerette, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Larroque Pharmacy Inc1305 Main St, Jeanerette, LA 70544-3640(337) 276-5001 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory

Locations

1305 Main St
Jeanerette, LA 70544
Phone (337) 276-5001

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1356484414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MAIN ST",
            "city": "JEANERETTE",
            "state": "LA",
            "postal_code": "705443640",
            "telephone_number": "337-276-5001",
            "fax_number": "337-276-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MAIN ST",
            "city": "JEANERETTE",
            "state": "LA",
            "postal_code": "705443640",
            "telephone_number": "337-276-5001",
            "fax_number": "337-276-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARROQUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "LARROQUE",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-276-5001"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY002587IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1260495",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LARROQUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeanerette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.