Mouton Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Rayne, LA
NPI 1366439648 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1366439648
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- OS01568 (AR)
- Legal business name
- MOUTON PHARMACY INC
- Practice address
- 301 S Adams Ave
Rayne, LA 70578-5837 - Phone
- (337) 334-2117
- Fax
- (337) 334-7668
- NPI assigned
- Oct 3, 2005
- Organization subpart
- No
Authorized official
- Name
- Andrew Mouton
- Title
- Manager/Owner
- Phone
- (337) 334-2117
Practitioners 3
-
Colin John Hebert, PHARMD
-
Kaitlyn Picard Schneider, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mouton Pharmacy Inc. |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manu… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930002596 | LA | DME Supplier - Pharmacy | 5193845238 | Practice locations: Rayne, LA |
| O20110203000587 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193845238 | Practice locations: Rayne, LA |
National Provider Directory
Locations
301 S Adams Ave
Rayne, LA 70578
Phone (337) 334-2117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHY.002569-IR | LA | |
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | OS01568 | AR | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
301 S Adams Ave
Rayne, LA 70578-5837
Mailing address
PO Box 93
Rayne, LA 70578-0093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2211382 | Medicaid | LA | |
| 2032645 | Other | PK |
Other names
- MOUTON PHARMACY INC
Other providers in Rayne, LA
- Meche'S Family Drugs, Inc.
- Kourtney Lynn Menard
- Deborah Lebeouf Mire
- Edward Morris Moody III
- Edward Morris Moody II
- Rachel E Mouton
- Diane Navarre
- Verna Olinger
- Patrick D. Briese, DDS, LLC
- Pharmaceutical Consultant Services
All providers in Rayne, 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 Aug 27, 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.