Acadiana Pharmaceutical Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ACADIANA PHARMACEUTICAL MEDICAL LLC

Doing business as

Lifehouse Medical

Practice address

22203 A Hwy 59
Robertsdale, AL 36567

Phone

(251) 945-1540

Fax

(251) 945-1542

NPI assigned

Oct 3, 2005

Last updated

Sep 11, 2025By 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

Robert Reyburn Roberts III, RPH

Title

Director of Pharmacy LLC Member

Phone

(251) 945-1540

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lifehouse Medical Doing business as

Locations

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457348641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22203 A HWY 59",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-945-1540",
            "fax_number": "251-945-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22203 A HWY 59",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "251-945-1540",
            "fax_number": "251-945-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA PHARMACEUTICAL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "REYBURN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY LLC MEMBER",
        "authorized_official_telephone_number": "251-945-1540",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "112604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0132833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifehouse Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alabama Providence Healthcare Services
• Ashley Ott OD LLC (Robertsdale Eye Care)
• Amanda J August

• Durable Medical Equipment & Medical Supplies in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.