Fontenot Scott Pharmacy
Organization Active NPI Community/Retail Pharmacy · Scott, LA
NPI 1629516331 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1629516331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FONTENOT SCOTT PHARMACY
- Practice address
- 1000 St Mary St.
Scott, LA 70583 - Phone
- (337) 235-5216
- Fax
- (337) 235-5217
- NPI assigned
- Feb 2, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Forrest Fontenot, PHARM D
- Title
- Owner/Pharmacist
- Phone
- (337) 235-5216
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 1
-
Forrest Fontenot, PHARM D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180713001931 | LA | Part B Supplier - Pharmacy | 4789930272 | Practice locations: Scott, LA |
National Provider Directory
- Tax ID family
- Fontenot Scott Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY.007410-IR | LA | |
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1000 St Mary St.
Scott, LA 70583
Mailing address
PO Box 188
Scott, LA 70583-0188
Phone (337) 235-5216
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2204998 | Medicaid | LA |
Other names
- Scott Pharmacy
Other providers in Scott, LA
- Caleb Huy Duong
- Curtis Aaron Edwards
- Jonas Malik Etienne
- Brad Joseph Fanguy
- Finding and Loving Yourself LLC
- Fontenot Scott Pharmacy
- Forrest Fontenot
- Donald Frank
- Mary Frank
- Alexia Gallien
All providers in Scott, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.