NPIMap

Organization Active NPI

Church Point Drug Inc

Doing business as Stewart's Drug Store

  • Community/Retail Pharmacy
  • Jennings, LA
National Provider Identifier
1477997500
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY006731IR Issued in LA
Legal business name
CHURCH POINT DRUG INC
Doing business as
Stewart's Drug Store
Practice address
403 W Plaquemine St
Jennings, LA 70546-5755
Phone
(337) 824-2311
Fax
(337) 824-2312
NPI assigned
Apr 19, 2013
Last updated
Jan 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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

Authorized official

Name
Nicole Alleman
Title
Owner
Phone
(337) 824-2311

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY006731IR LA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

403 W Plaquemine St
Jennings, LA 70546-5755

Mailing address

403 W Plaquemine St
Jennings, LA 70546-5755
Phone (337) 824-2311

Other identifiers 2

IdentifierTypeStateIssuer
2202197MedicaidLA
2141421OtherPK

Other names 1

  • STEWART'S DRUG STORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160726002891 LA Part B Supplier - Mass Immunization (Roster Biller Only) 5294937512 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Church Point, LA; Iowa, LA; Jennings, LA; Welsh, LA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642291200000",
    "number": "1477997500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W PLAQUEMINE ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465755",
            "telephone_number": "337-824-2311",
            "fax_number": "337-824-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W PLAQUEMINE ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465755",
            "telephone_number": "337-824-2311",
            "fax_number": "337-824-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH POINT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2022-01-16",
        "certification_date": "2021-12-26",
        "status": "A",
        "authorized_official_last_name": "ALLEMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-824-2311"
    },
    "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": "PHY006731IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202197",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEWART'S DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STEWART'S DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; 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.