Organization Active NPI

Bon Ami Pharmacy

  • Long Term Care Pharmacy
  • Breaux Bridge, LA
National Provider Identifier
1699555649
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BON AMI PHARMACY
Practice address
2825 Grand Point Hwy Lot 9
Breaux Bridge, LA 70517-6972
Phone
(337) 454-6536
NPI assigned
Oct 5, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BON AMI PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Myles Regan StellyNPI 1891077897
Title
Owner/Pic
Phone
(337) 454-6536

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2825 Grand Point Hwy Lot 9
Breaux Bridge, LA 70517-6972

Mailing address

120 Rue de Pharmaciens
Scott, LA 70583-4432
Phone (337) 454-6536

National Provider Directory

National Provider Directory
Tax ID family
Bon Ami Pharmacy2 organizations share this tax ID, including this one
Part of
Bon Ami Pharmacy

Other organizations with this tax ID 1

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

Locations

2825 Grand Point Hwy
Lot 9
Breaux Bridge, LA 70517
Phone (337) 454-6536

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1699555649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RUE DE PHARMACIENS",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705834432",
            "telephone_number": "337-454-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 GRAND POINT HWY LOT 9",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176972",
            "telephone_number": "337-454-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON AMI PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON AMI PHARMACY",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "MYLES",
        "authorized_official_middle_name": "REGAN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "337-454-6536"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 5, 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.