Organization Active NPI

Cecilia Medicine Shoppe Inc

  • Community/Retail Pharmacy
  • Breaux Bridge, LA
National Provider Identifier
1649632035
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CECILIA MEDICINE SHOPPE INC
Doing business as
CECILIA MEDICINE SHOPPE
Practice address
1017 Cecilia Bridge Hwy
Breaux Bridge, LA 70517-6801
Phone
(337) 667-6271
Fax
(337) 667-7379
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Yan Frankel
Title
Authorized Official
Phone
(337) 667-6271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1017 Cecilia Bridge Hwy
Breaux Bridge, LA 70517-6801

Mailing address

1017 Cecilia Bridge Hwy
Breaux Bridge, LA 70517-6801
Phone (337) 667-6271

Other names 1

  • CECILIA MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1649632035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CECILIA BRIDGE HWY",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176801",
            "telephone_number": "337-667-6271",
            "fax_number": "337-667-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 CECILIA BRIDGE HWY",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176801",
            "telephone_number": "337-667-6271",
            "fax_number": "337-667-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA MEDICINE SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "FRANKEL",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "337-667-6271"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CECILIA MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.