Active NPI
Wellsmart Pharmacy South
- Community/Retail Pharmacy
- Opelousas, LA
National Provider Identifier
1639734015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2206958 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240620001492 | LA | Part B Supplier - Pharmacy | 0547703456 | Practice locations: Opelousas, LA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rural Health Clinic/Center
- Opelousas, LA
- NPI 1316406929
Member Of
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.