Organization Active NPI

Lagniappe Pharmacy 6, LLC

Doing business as Medicinne Shoppe

  • Community/Retail Pharmacy
  • Opelousas, LA
National Provider Identifier
1669584652
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
C002686IR Issued in LA
Legal business name
LAGNIAPPE PHARMACY 6, LLC
Doing business as
Medicinne Shoppe
Practice address
1717 S Union St
Suite 2
Opelousas, LA 70570-5745
Phone
(337) 948-7703
Fax
(337) 948-9975
NPI assigned
Aug 31, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Eric PetersNPI 1386959088
Title
Owner/Managing Member
Phone
(225) 810-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X C002686IR LA Primary
Long Term Care Pharmacy 3336L0003X PHY.002686-IR LA

Addresses

Primary practice location

1717 S Union St
Suite 2
Opelousas, LA 70570-5745

Mailing address

1717 S Union St Ste 2
Opelousas, LA 70570-5745
Phone (337) 948-7703

Other identifiers 2

IdentifierTypeStateIssuer
1924744OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2208446MedicaidLA

Other names 1

  • MEDICINNE SHOPPE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230109001350 LA Part B Supplier - Pharmacy 7416327481 Practice locations: Opelousas, LA

National Provider Directory

National Provider Directory
Tax ID family
Andrepont Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1669584652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S UNION ST STE 2",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705745",
            "telephone_number": "337-948-7703",
            "fax_number": "337-948-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S UNION ST",
            "address_2": "SUITE 2",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705745",
            "telephone_number": "337-948-7703",
            "fax_number": "337-948-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGNIAPPE PHARMACY 6, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-02",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "225-810-7778"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "C002686IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "PHY.002686-IR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1924744",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208446",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINNE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 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.