NPIMap

Organization Active NPI

Kar Pharmacy Services, LLC

Doing business as Bourg's Drug Store

  • Community/Retail Pharmacy
  • Port Allen, LA
National Provider Identifier
1891888236
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
006877-IR Issued in LA
Legal business name
KAR PHARMACY SERVICES, LLC
Doing business as
Bourg's Drug Store
Practice address
484 Louisiana Ave
Port Allen, LA 70767-2141
Phone
(225) 344-1077
Fax
(225) 344-4408
NPI assigned
Sep 30, 2006
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Justin Soulier
Title
Operations Manager
Phone
(225) 485-1049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 006877-IR LA Primary

Addresses

Primary practice location

484 Louisiana Ave
Port Allen, LA 70767-2141

Mailing address

PO Box 116
Maringouin, LA 70757-0116
Phone (225) 625-2353

Other identifiers 1

IdentifierTypeStateIssuer
2146546OtherPK

Other names 1

  • Bourg's Drug Store Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elliott Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

484 Louisiana Ave
Port Allen, LA 70767
Phone (225) 344-1077

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1891888236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "707570116",
            "telephone_number": "225-625-2353",
            "fax_number": "225-625-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 LOUISIANA AVE",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707672141",
            "telephone_number": "225-344-1077",
            "fax_number": "225-344-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAR PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "SOULIER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "225-485-1049"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "006877-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourg's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Allen, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.