BAYOU PHARMACY LLC (NPI# 1629304183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629304183 |
| Entity Type | Organization |
| Organization Name | BAYOU PHARMACY LLC |
| Other Organization Name | BAYOU PHARMACY |
| Practice Address |
12855 Padgett Switch Rd Irvington AL 36544-4015 |
| Practice Telephone | 2518247979 |
| Practice Fax Number | 2518247989 |
| Mailing Telephone | 2518247979 |
| Mailing Fax Number | 2518247989 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | CHARLES COTTRELL (PRESIDENT/PHARMACIST) |
| Authorized Official Telephone | 2518247979 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
113326 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2122525 | 01 | |
| AL | 114666 | 05 |
| Other Name | Type Code |
|---|---|
| Bayou Pharmacy | Doing Business As Name - Organization |
| Street Address |
12855 PADGETT SWITCH RD |
| City | IRVINGTON |
| State | AL |
| Zip Code | 36544-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671528 | Catherine Thompson | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544 | 2020-05-22 |
| 1801937057 | Cheryl Berg Horn | Speech-Language Pathologist | 9780 Cornelius Rd., Irvington, AL 36544-0675 | 2007-02-09 |
| 1326384306 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-20 |
| 1730425547 | Portable Medical Diagnostics LLC | Physiological Laboratory | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-26 |
| 1376894659 | South Mobile County Home Health Services Inc. | Case Management | 9161 Saint Elmo Cir S, Irvington, AL 36544-2921 | 2012-09-26 |
| 1740333236 | House of Philadelphia, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8571 Three Mile Rd, Irvington, AL 36544-3301 | 2007-01-19 |
| 1558683409 | South Alabama Leisure Rehabilitation Recreation Center Inc | Day Training, Developmentally Disabled Services | 8571 Three Mile Rd, Lot 4, Irvington, AL 36544-3301 | 2010-02-19 |
| 1902926884 | W.i.n.n.e.r.s., Inc | Substance Abuse Rehabilitation Facility | 8800 Three Mile Rd, Irvington, AL 36544-3334 | 2007-04-02 |
| 1952532566 | Wilsania L. Rodriguez Mendez | Internal Medicine | 12701 Padgett Switch Road, Medicine Dept., Irvington, AL 36544-4011 | 2009-07-30 |
| 1396794426 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2006-05-08 |
| Find all providers in zip 36544 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649799271 | Irvington Pharma LLC | Pharmacy | 1070 Springfield Ave, Irvington, NJ 07111-2407 | 2017-09-14 |
| 1316482078 | Walgreen Co | Pharmacy | 810 Springfield Ave, Irvington, NJ 07111 | 2017-01-04 |
| 1093059958 | Pharmacy Cares LLC | Pharmacy | 753 Lyons Ave, Irvington, NJ 07111-3165 | 2012-11-16 |
| 1972641009 | Mprl Pharmacy, Inc | Pharmacy | 635 Grove St, Irvington, NJ 07111-3719 | 2007-02-01 |
| 1598224586 | First Rx Pharmacy LLC | Pharmacy | 851 Springfield Ave, Irvington, NJ 07111-3611 | 2019-03-18 |
| 1871035691 | Leading Pharmacy LLC | Pharmacy | 870 Springfield Ave, Irvington, NJ 07111-3668 | 2016-11-10 |
| 1740699859 | Westchester Apothecary LLC | Pharmacy | 104 Main Street, Irvington, NY 10533 | 2014-08-04 |
| 1770919326 | Green Leaf Pharmacy, LLC | Pharmacy | 870 Springfield Ave, Irvington, NJ 07111-3668 | 2013-09-15 |
| 1710010640 | Brectobi,llc | Pharmacy | 870 Springfield Ave, Irvington, NJ 07111-3668 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1366066144 | Jones Drugs LLC | Pharmacy | 3482 Crosswinds Dr, Phenix City, AL 36869 | 2020-06-08 |
| 1104448067 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 201 Governors Dr Sw Ste 305, Huntsville, AL 35801-5170 | 2020-05-14 |
| 1609401678 | Pharmacy Investment Coordinators Inc | Pharmacy | 1301 Andrews Ave, Ozark, AL 36360-3717 | 2020-03-10 |
| 1861025520 | Monroe County Health Care Authority | Pharmacy | 2016 S Alabama Ave Ste D, Monroeville, AL 36460-3044 | 2020-02-20 |
| 1982235230 | Shiftrx Uab Mw, LLC | Pharmacy | 985 9th Ave Sw Ste 100, Bessemer, AL 35022-7810 | 2020-01-27 |
| 1316577943 | Gulf Health Management Services Inc | Pharmacy | 95 Shell St Ste 110, Saraland, AL 36571-2202 | 2020-01-23 |
| 1952931115 | Howard Pharmacy LLC | Pharmacy | 770a Pierce Rd, Mobile, AL 36608-9441 | 2020-01-16 |
| 1972144798 | Hh Health System - Marshall LLC | Pharmacy | 11491 Us Highway 431 Ste 1, Albertville, AL 35950-0136 | 2019-10-02 |
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.