Ardoin Crescent Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ARDOIN CRESCENT DRUG STORE

Practice address

254 N Main St
Jennings, LA 70546-5848

Phone

(337) 824-4534

Fax

(337) 824-1307

NPI assigned

Oct 7, 2006

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

Amos Ardoin

Title

Owner and Pharmacist

Phone

(337) 824-4534

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609963891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705461205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 N MAIN ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465848",
            "telephone_number": "337-824-4534",
            "fax_number": "337-824-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDOIN CRESCENT DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ARDOIN",
        "authorized_official_first_name": "AMOS",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "337-824-4534"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "2236IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1258504",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1906316",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Anderson
• James Christopher Andries Jr., APRN, FNP-C
• Luis Francisco Apellaniz, MD
• Apex Medical Clinic (Apex Immediate Care Clinic)
• Marilyn Arabie, LOTR
• Amy Aucoin, CSW
• Kassie Willis Augustin, ST
• Bailey & Elias Obstetrical Care, LLC
• George Vincent Bailey Jr., M.D.
• Joel Bailey, MD

• Community/Retail Pharmacy in Jennings, LA
• Providers in Jennings, LA by specialty
• Community/Retail Pharmacy in Louisiana

• 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.