Dupre of Gonzales LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY006599IR Issued in LA

Legal business name

DUPRE OF GONZALES LLC

Doing business as

Dupre Pharmacy

Practice address

6473 Highway 44 Ste 101
Gonzales, LA 70737-8179

Phone

(225) 257-1009

Fax

(225) 257-1017

NPI assigned

Jul 2, 2012

Last updated

Jul 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris DupreNPI 1598043093

Title

Owner

Phone

(225) 257-1009

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dupre Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Tax ID family

Dupre of Gonzales LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dupre of Gonzales LLC

  dba Dupre Pharmacy

  • Long Term Care Pharmacy
  • Gonzales, LA
  • NPI 1306544598
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dupre of Gonzales LLC

  dba Dupre Pharmacy

  • Long Term Care Pharmacy
  • Gonzales, LA
  • NPI 1306544598
  NPPES parent name

Practitioners 4

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.

• Chris Anthony Dupre, RPH

  • Pharmacist
  • Gonzales, LA
  • NPI 1598043093
  NPD Authorized official
• Bert Blanchard, R.PH

  • Pharmacist
  • Gonzales, LA
  • NPI 1518337963
  NPD
• Juanita Habisreitinger, RPH

  • Pharmacist
  • Gonzales, LA
  • NPI 1902313042
  NPD (past)
• Allison Day Menard, R.PH.

  • Pharmacist
  • Gonzales, LA
  • NPI 1134226715
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1417211764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6473 HIGHWAY 44",
            "address_2": "STE 101",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378179",
            "telephone_number": "225-257-1009",
            "fax_number": "225-257-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6473 HIGHWAY 44 STE 101",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378179",
            "telephone_number": "225-257-1009",
            "fax_number": "225-257-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPRE OF GONZALES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "DUPRE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-257-1009"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY006599IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201875",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dupre Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malcolm Michael Duplantis Jr, PT
• Dana Duplessis, OT
• John S. Dupont, DDS
• Dupre and Dupre LLC (Medicap Pharmacy)
• Dupre of Gonzales LLC (Dupre Pharmacy)
• Barry John Dupre
• Chris Anthony Dupre, RPH
• Sadie Lane Dupre, PT, DPT
• Kristen Durkee
• Dva Healthcare Renal Care Inc (Magnolia Dialysis)

• Community/Retail Pharmacy in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.