Active NPI
Kastak Services, L.L.C.
- Community/Retail Pharmacy
- Breaux Bridge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- KASTAK SERVICES, L.L.C.
- Practice address
- 1456 E Bridge St
Breaux Bridge, LA 70517-3406 - Phone
- (337) 332-5010
- Fax
- (337) 332-6068
- NPI assigned
- Oct 4, 2006
- 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
- Kiley Simoneaux, PHARM.D.
- Title
- Owner/Pharmacist
- Phone
- (337) 332-5010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1456 E Bridge St
Breaux Bridge, LA 70517-3406
Mailing address
1456 E Bridge St
Breaux Bridge, LA 70517-3406
Phone (337) 332-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1269646 | Medicaid | LA |
Other names 1
- Hollier's Family Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120117000766 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719191402 | Practice locations: Breaux Bridge, LA |
| O20241023000447 | LA | DME Supplier - Pharmacy | 2264846575 | Practice locations: Breaux Bridge, 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 |
|---|---|---|
| Hollier'S Family Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
5383 Jones Creek Rd
Ste B
Baton Rouge, LA 70817
Phone (225) 214-0133
1456 E Bridge St
Breaux Bridge, LA 70517
Phone (337) 332-5010
2920 S Range Ave
Denham Springs, LA 70726
Phone (225) 921-5021
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Breaux Bridge, LA
- NPI 1225903701
-
- Pharmacist
- Denham Springs, LA
- NPI 1447840426
-
- Pharmacist
- Breaux Bridge, LA
- NPI 1700234408
-
- Pharmacist
- Breaux Bridge, LA
- NPI 1245608736
-
- Pharmacist
- Breaux Bridge, LA
- NPI 1255610143
-
- Pharmacist
- Saint Martinville, LA
- NPI 1316428493
-
- Pharmacist
- Breaux Bridge, LA
- NPI 1629428438
-
- Pharmacist
- Denham Springs, LA
- NPI 1609156686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751328000000",
"number": "1497840474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 E BRIDGE ST",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705173406",
"telephone_number": "337-332-5010",
"fax_number": "337-332-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 E BRIDGE ST",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705173406",
"telephone_number": "337-332-5010",
"fax_number": "337-332-6068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KASTAK SERVICES, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A",
"authorized_official_last_name": "SIMONEAUX",
"authorized_official_first_name": "KILEY",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "337-332-5010",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1269646",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hollier's Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.