Organization Active NPI

Wellsmart Pharmacy South

  • Community/Retail Pharmacy
  • Opelousas, LA
National Provider Identifier
1639734015
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLSMART PHARMACY SOUTH
Practice address
3939 I-49 S. Service Road
Opelousas, LA 70570-0758
Phone
(337) 447-4799
Fax
(337) 205-6366
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Bruce Juneau
Title
Cfo
Phone
(337) 948-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3939 I-49 S. Service Road
Opelousas, LA 70570-0758

Mailing address

539 E. Prudhomme St
Opelousas, LA 70570
Phone (337) 948-5113

Other identifiers 1

IdentifierTypeStateIssuer
2206958MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240620001492 LA Part B Supplier - Pharmacy 0547703456 Practice locations: Opelousas, LA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3939 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 447-4799

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1639734015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 E. PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-948-5113",
            "fax_number": "337-205-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 I-49 S. SERVICE ROAD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700758",
            "telephone_number": "337-447-4799",
            "fax_number": "337-205-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSMART PHARMACY SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "JUNEAU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-948-5113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206958",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.