Organization Active NPI

Bullard Drug and Wellness

Doing business as Bullard Drug and Wellness, LLC

  • Pharmacy
  • Olla, LA
National Provider Identifier
1417538422
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BULLARD DRUG AND WELLNESS
Doing business as
Bullard Drug and Wellness, LLC
Practice address
3515 Main St. Hwy 165
Olla, LA 71465
Phone
(318) 495-1100
NPI assigned
Apr 20, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Dr. Ashley Alana Sanders Bullard, PHARMDNPI 1386014124
Title
Owner/Pharmacist in Charge
Phone
(318) 495-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3515 Main St. Hwy 165
Olla, LA 71465

Mailing address

3515 Main St. Hwy 165
Olla, LA 71465
Phone (318) 495-1100

Other names 1

  • Bullard Drug and Wellness, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211223000470 LA Part B Supplier - Pharmacy 0547651747 Practice locations: Olla, LA
O20230609002533 LA DME Supplier - Pharmacy 0547651747 Practice locations: Olla, LA

National Provider Directory

National Provider Directory
Tax ID family
Bullard Drug and Wellness2 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.

Locations

3515 Main Street 165
Olla, LA 71465
Phone (318) 495-1100

Practitioners & affiliated clinicians

Practitioners 2

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": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1417538422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MAIN ST. HWY 165",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "71465",
            "telephone_number": "318-495-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 MAIN ST. HWY 165",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "71465",
            "telephone_number": "318-495-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLARD DRUG AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ALANA SANDERS",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "318-495-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bullard Drug and Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olla, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.