Port Allen Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PORT ALLEN PHARMACY

Practice address

702 Lobdell Hwy Ste 5
Port Allen, LA 70767-4154

Phone

(225) 960-1630

Fax

(225) 960-1754

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Charlotte Barrow BertrandNPI 1568771582

Title

Pharmacist in Charge

Phone

(225) 245-5141

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charlotte Barrow Bertrand, PHARMD

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1568771582
  NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1801675129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 LOBDELL HWY STE 5",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707674154",
            "telephone_number": "225-960-1630",
            "fax_number": "225-960-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 LOBDELL HWY STE 5",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707674154",
            "telephone_number": "225-960-1630",
            "fax_number": "225-960-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ALLEN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "BARROW",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "225-245-5141"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Allen Parrish, APRN,PMHNP-BC,FNP-C
• Pedialife of la, L.L.C.
• Kirkland Pelichet
• Philip G. Padgett, Ampc
• Port Allen Care Center, LLC
• Port Allen Supermarket Inc
• Port City Enterprises, Inc.
• Port City Enterprises, Inc.
• Port City Enterprises, Inc.
• Port City Enterprises, Inc.

• Community/Retail Pharmacy in Port Allen, LA
• Providers in Port Allen, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.