Organization Active NPI

Bordelons Super Save Inc

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1912094194
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.000087-IR Issued in LA
Legal business name
BORDELONS SUPER SAVE INC
Doing business as
Bordelon's Super Save Pharmacy
Practice address
6920 Plank Rd
Baton Rouge, LA 70811-6041
Phone
(225) 356-0654
Fax
(225) 357-7936
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
John David May, PHARMDNPI 1952457111
Title
Pharmacist
Phone
(225) 356-0654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY.000087-IR LA Primary

Addresses

Primary practice location

6920 Plank Rd
Baton Rouge, LA 70811-6041

Mailing address

6920 Plank Rd
Baton Rouge, LA 70811-6041
Phone (225) 356-0654

Other identifiers 1

IdentifierTypeStateIssuer
1240664MedicaidLA

Other names 1

  • Bordelon's Super Save Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180406000534 LA Part B Supplier - Mass Immunization (Roster Biller Only) 9032239181 Practice locations: Baton Rouge, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2208897Bordelon'S Super Save Pharmacy6920 Plank Rd, Baton Rouge, LA 70811Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

Locations

6920 Plank Rd
Baton Rouge, LA 70811
Phone (225) 356-0253

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1912094194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 PLANK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708116041",
            "telephone_number": "225-356-0654",
            "fax_number": "225-357-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 PLANK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708116041",
            "telephone_number": "225-356-0654",
            "fax_number": "225-357-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDELONS SUPER SAVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "225-356-0654",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.000087-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1240664",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bordelon's Super Save Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.