ARDOIN CRESCENT DRUG STORE NPI 1609963891

NPI Information

  • NPI: 1609963891
  • Provider Name: ARDOIN CRESCENT DRUG STORE
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 254 N MAIN ST
    JENNINGS, LA
    ZIP 70546
  • Phone: (337) 824-4534

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NPI Details

ARDOIN CRESCENT DRUG STORE is a community/retail pharmacy pharmacy in Jennings, LA. The provider is 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. ARDOIN CRESCENT DRUG STORE NPI is 1609963891. The provider is registered as an organization entity type.

The provider's business location address is:

254 N MAIN ST
JENNINGS, LA
ZIP 70546-848
Phone: (337) 824-4534
Fax: (337) 824-1307

The provider's authorized official is Amos Ardoin .
The authorized official title is Owner And Pharmacist and has the following contact phone number (337) 824-4534.

The enumeration date for this NPI number is 10/7/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy2236IRLOUISIANANo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11258504MEDICAIDLOUISIANA
21906316OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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