DRS K L Fournet B M Demahy & a R -

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5065IR Issued in LA

Legal business name

DRS K L FOURNET B M DEMAHY & A R -

Doing business as

Hospital Drug Store

Practice address

410 N Main St
Saint Martinville, LA 70582-4119

Phone

(337) 394-5049

Fax

(337) 394-5049

NPI assigned

Jun 8, 2006

Last updated

Jul 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Byron Fournet

Title

Owner Pharmacist

Phone

(337) 394-5049

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HOSPITAL DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1821038571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705824119",
            "telephone_number": "337-394-5049",
            "fax_number": "337-394-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705824119",
            "telephone_number": "337-394-5049",
            "fax_number": "337-394-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS K L FOURNET B M DEMAHY & A R -",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "FOURNET",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "337-394-5049"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "5065IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1270997",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1911278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPITAL DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Darce, R.PH
• Russell M Davis Jr., DDS
• DDMS of Louisiana No 2, LLC
• Dr K Fournet Etalptr
• Dr Kanisha Hall PLLC (Dr K L Hall)
• Grace Bourgeois Dufrene, FNP
• Kathryn Kaufman Duplantis, FNP
• Lakisha Easter
• Etienne's Transportation
• Extended Family Care

• Community/Retail Pharmacy in Saint Martinville, LA
• Providers in Saint Martinville, 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 Jul 6, 2011; 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.