Organization Active NPI

Acadiana Practitioners LLC

Doing business as Acadiana Practitioners Pharmacy

  • Pharmacy
  • Opelousas, LA
National Provider Identifier
1700773389
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ACADIANA PRACTITIONERS LLC
Doing business as
Acadiana Practitioners Pharmacy
Practice address
1200 Hospital Dr Ste 1
Opelousas, LA 70570-6552
Phone
(337) 284-5084
NPI assigned
Jun 18, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ACADIANA PRACTITIONERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Taylor Stevens
Title
Manager
Phone
(337) 447-4027

Specialties & licenses 2

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

Addresses

Primary practice location

1200 Hospital Dr Ste 1
Opelousas, LA 70570-6552

Mailing address

1119 Prudhomme Cir
Opelousas, LA 70570-6516
Phone (337) 447-4027

Other identifiers 1

IdentifierTypeStateIssuer
PHY009002IROtherLALOUISIANA BOARD OF PHARMACY

Other names 1

  • Acadiana Practitioners Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027003931 LA Part B Supplier - Pharmacy 4587924188 Practice locations: Opelousas, LA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Acadiana Practitioners LLC6 organizations share this tax ID, including this one
Part of
Acadiana Practitioners LLC

Other organizations with this tax ID 5

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

Locations

1200 Hospital Dr
Ste 1
Opelousas, LA 70570
Phone (337) 284-5084

611 E Prudhomme St
Ste 5
Opelousas, LA 70570
Phone (337) 942-5899

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1700773389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 PRUDHOMME CIR",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706516",
            "telephone_number": "337-447-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL DR STE 1",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706552",
            "telephone_number": "337-284-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA PRACTITIONERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIANA PRACTITIONERS LLC",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-447-4027"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF PHARMACY",
            "identifier": "PHY009002IR",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadiana Practitioners Pharmacy",
            "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 Aug 27, 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.