JEFFERSON DRUG STORE
NPI 1831505536
Pharmacy - Community/Retail Pharmacy in Lafayette, LA

NPI Status: Active since July 02, 2014

Contact Information

620 JEFFERSON BLVD
LAFAYETTE, LA
ZIP 70501
Phone: (337) 234-1428
Fax: (337) 234-1429

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About JEFFERSON DRUG STORE

This page provides the complete NPI Profile along with additional information for Jefferson Drug Store, a provider established in Lafayette, Louisiana operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1831505536 assigned on July 2014. The practitioner's primary taxonomy code is 3336C0003X with license number 11850 (LA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Jefferson Drug Store. The authorized official of this NPI record is John D Baque Pharmacist (Owner/pharmacist)

NPI
1831505536
Provider Legal Name
BAQUE ENTERPRISE LLC
Other Organization Name
JEFFERSON DRUG STORE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
620 JEFFERSON BLVD LAFAYETTE, LA 70501
Location Phone
(337) 234-1428
Location Fax
(337) 234-1429
Mailing Address
620 JEFFERSON BLVD LAFAYETTE, LA 70501
Mailing Phone
(337) 234-1428
Mailing Fax
(337) 234-1429
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2014
Last Update Date
07-02-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
11850
License State
LA
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN D BAQUE PHARMACIST

Authorized Official Title
OWNER/PHARMACIST
Authorized Official Phone
(337) 234-1428

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831505536
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28611001056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 0 + 0 + 1 + 0 + 5 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1831505536 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891905071MR. RICHARD EWELL HEBERT RPH
Individual
Pharmacist620 JEFFERSON BLVD
LAFAYETTE, LA 70501
(337) 234-1428
1922174689JEFFERSON PHARMACY,LLC
Organization
Pharmacy620 JEFFERSON BLVD
LAFAYETTE, LA 70501
(337) 234-1428

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831505536, enumerated in the NPI registry as an "organization" on July 02, 2014

The provider is located at 620 Jefferson Blvd Lafayette, La 70501 and the phone number is (337) 234-1428

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

This NPI record was last updated on July 02, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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