Church Point Community Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5339-IR Issued in LA

Legal business name

CHURCH POINT COMMUNITY PHARMACY

Doing business as

Community Pharmacy

Practice address

731 S Main St
Suite B
Chruch Point, LA 70525

Phone

(337) 684-1911

Fax

(337) 684-1912

NPI assigned

Feb 28, 2007

Last updated

Mar 7, 2023By 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

Mr. Chad Bodin I, RPHNPI 1295126159

Title

Owner

Phone

(337) 684-1911

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• COMMUNITY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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.

• Chad Bodin, R.P.H.

  • Pharmacist
  • Church Point, LA
  • NPI 1295126159
  Authorized official Same address or phone

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609904044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S MAIN ST",
            "address_2": "SUITE B",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254109",
            "telephone_number": "337-684-1911",
            "fax_number": "337-684-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S MAIN ST",
            "address_2": "SUITE B",
            "city": "CHRUCH POINT",
            "state": "LA",
            "postal_code": "70525",
            "telephone_number": "337-684-1911",
            "fax_number": "337-684-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH POINT COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BODIN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-684-1911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "5339-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1931939",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271918",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.