Archie Chauvin

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

000687-IR Issued in LA

Legal business name

ARCHIE CHAUVIN

Doing business as

Lydia Pharmacy

Practice address

3917 Darnall Rd
Lydia, LA 70569-0435

Phone

(337) 369-6156

Fax

(337) 365-6376

NPI assigned

Oct 2, 2006

Last updated

Jul 11, 2014By 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

Archie Chauvin, RPH

Title

Owner

Phone

(337) 369-6156

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LYDIA PHARMACY Doing business as

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1497848659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "LYDIA",
            "state": "LA",
            "postal_code": "705690435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 DARNALL RD",
            "city": "LYDIA",
            "state": "LA",
            "postal_code": "705690435",
            "telephone_number": "337-369-6156",
            "fax_number": "337-365-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHIE CHAUVIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "CHAUVIN",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-369-6156",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "000687-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1227285",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYDIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.