Active NPI
Mouton Pharmacy Inc
- Community/Retail Pharmacy
- Rayne, LA
National Provider Identifier
1366439648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- OS01568
- Legal business name
- MOUTON PHARMACY INC
- Doing business as
- 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
- Last updated
- Aug 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Mouton
- Title
- Manager/Owner
- Phone
- (337) 334-2117
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHY.002569-IR | LA | |
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | OS01568 | AR | Primary |
| 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 names 1
- MOUTON PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
| 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 |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| 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 |
National Provider Directory
National Provider DirectoryLocations
301 S Adams Ave
Rayne, LA 70578
Phone (337) 334-2117
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Rayne, LA
- NPI 1114756384
-
- Pharmacist
- Rayne, LA
- NPI 1154638427
-
- Pharmacist
- Rayne, LA
- NPI 1730058165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1366439648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "RAYNE",
"state": "LA",
"postal_code": "705780093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S ADAMS AVE",
"city": "RAYNE",
"state": "LA",
"postal_code": "705785837",
"telephone_number": "337-334-2117",
"fax_number": "337-334-7668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUTON PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "MOUTON",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "337-334-2117"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "LA",
"license": "PHY.002569-IR",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "OS01568",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MOUTON PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rayne, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.