Acadiana Prescription Shop

Primary specialty

PharmacyTaxonomy code 333600000X

License

5036IR Issued in LA

Legal business name

ACADIANA PRESCRIPTION SHOP

Practice address

454 Heymann Blvd
Lafayette, LA 70503-2617

Phone

(337) 233-4017

Fax

(337) 233-4048

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By 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

Mr. Joel Alan Fruge, RPH

Title

Owner

Phone

(337) 233-4017

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841369055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032617",
            "telephone_number": "337-233-4017",
            "fax_number": "337-233-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032617",
            "telephone_number": "337-233-4017",
            "fax_number": "337-233-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA PRESCRIPTION SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRUGE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-233-4017",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "5036IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271039",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Acadiana Personal Care
• Acadiana Personal Care Services
• Acadiana Personal Care Services
• Acadiana Pharmacies Inc (Acadiana Prescription Shop)
• Acadiana Physical Therapy, Inc.
• Acadiana Prescription Shop South
• Acadiana Radiology Group
• Acadiana Radiology Group, Apmc
• Acadiana Recovery and Rehab Center (Acadiana Recover Center)
• Acadiana Regional Medical Transportation

• Pharmacy in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.