Bares Inc.
Organization Active NPI Pharmacist · Youngsville, LA
NPI 1992797104 · NPPES record last updated May 18, 2020
Key facts
- NPI
- 1992797104
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 5529 (LA)
- Legal business name
- BARES INC.
- Practice address
- 601 Lafayette Street
Youngsville, LA 70592-0228 - Phone
- (337) 856-5761
- Fax
- (337) 856-8382
- NPI assigned
- Aug 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shannon Leigh Bares
- Title
- Manager
- Phone
- (337) 856-5761
Practitioners 5
-
David James Bares, RPH
-
Allison Lightfoot, R.PH
-
Samuel Thomas Robichaux, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Farmers Drugs and Gifts |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seati… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090714000439 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1456403930 | Practice locations: Youngsville, LA |
| O20100930062556 | LA | DME Supplier - Pharmacy | 1456403930 | Practice locations: Youngsville, LA |
National Provider Directory
Locations
601 Lafayette St
Youngsville, LA 70592
Phone (337) 856-5761
202 Church St
Youngsville, LA 70592
Phone (337) 856-5761
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 5529 | LA | Yes |
Addresses
Primary practice location
601 Lafayette Street
Youngsville, LA 70592-0228
Mailing address
PO Box 228
Youngsville, LA 70592-0228
Phone (337) 856-5761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5DJ46 | Other | LA | PTAN |
| 1274887 | Medicaid | LA |
Other names
- Farmer's Drugs & Gifts
Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.