Organization Active NPI

Neighbors Pharmacy

  • Community/Retail Pharmacy
  • Lafayette, LA
National Provider Identifier
1922493337
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.007094-IR Issued in LA
Legal business name
NEIGHBORS PHARMACY
Practice address
6770 Johnston St
Suite-a
Lafayette, LA 70503-6202
Phone
(337) 706-7706
Fax
(337) 706-7729
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Chad Bodin
Title
Owner/Pharmacist
Phone
(337) 962-6877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY.007094-IR LA Primary

Addresses

Primary practice location

6770 Johnston St
Suite-a
Lafayette, LA 70503-6202

Mailing address

6770 Johnston St Ste a
Lafayette, LA 70503-6202
Phone (337) 706-7706

Other identifiers 1

IdentifierTypeStateIssuer
2151129OtherPK

Other names 1

  • NEIGHBORS PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190306002626 LA Part B Supplier - Mass Immunization (Roster Biller Only) 0749529865 Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory
Tax ID family
Neighbors Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6770 Johnston St
Lafayette, LA 70503
Phone (337) 706-7706

6770 Johnston St
Ste A
Lafayette, LA 70503
Phone (337) 706-7706

Practitioners & affiliated clinicians

Practitioners 1

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1922493337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 JOHNSTON ST STE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705036202",
            "telephone_number": "337-706-7706",
            "fax_number": "337-706-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 JOHNSTON ST",
            "address_2": "SUITE-A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705036202",
            "telephone_number": "337-706-7706",
            "fax_number": "337-706-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "BODIN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "337-962-6877"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007094-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEIGHBORS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.