BAQUE ENTERPRISE LLC (NPI# 1831505536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831505536 |
| Entity Type | Organization |
| Organization Name | BAQUE ENTERPRISE LLC |
| Other Organization Name | JEFFERSON DRUG STORE |
| Practice Address |
620 Jefferson Blvd Lafayette LA 70501-7206 |
| Practice Telephone | 3372341428 |
| Practice Fax Number | 3372341429 |
| Mailing Telephone | 3372341428 |
| Mailing Fax Number | 3372341429 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | JOHN D BAQUE (OWNER/PHARMACIST) |
| Authorized Official Telephone | 3372341428 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
11850 | LA | Suppliers |
| Other Name | Type Code |
|---|---|
| Jefferson Drug Store | Doing Business As Name - Organization |
| Street Address |
620 JEFFERSON BLVD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922174689 | Jefferson Pharmacy,llc | Pharmacy | 620 Jefferson Blvd, Lafayette, LA 70501-7206 | 2006-11-27 |
| 1891905071 | Richard Ewell Hebert | Pharmacist | 620 Jefferson Blvd, Lafayette, LA 70501-7206 | 2007-05-23 |
| 1669682993 | Warren John Guidry | Pharmacist | 620 Jefferson Blvd, Lafayette, LA 70501-7206 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| 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 |
|---|---|---|---|---|
| 1174008064 | Province Pharmacy Inc | Pharmacy | 5000 Ambassador Caffery Pkwy Ste B, Lafayette, LA 70508-6984 | 2018-09-26 |
| 1700385663 | Ggii Indiana, LLC | Pharmacy | 2250 Teal Rd, Lafayette, IN 47905-2218 | 2018-02-06 |
| 1962914234 | Ksc, Inc | Pharmacy | 526 Highway 52 Byp W, Lafayette, TN 37083-1614 | 2017-10-26 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1922493337 | Neighbors Pharmacy | Pharmacy | 6770 Johnston St, Suite-a, Lafayette, LA 70503-6202 | 2015-04-02 |
| 1154663284 | Acadiana Prescription Shop South | Pharmacy | 5000 Ambassador Caffery Pkwy.,bldg 3, Suite B, Lafayette, LA 70508 | 2013-03-27 |
| 1568693505 | Falcon Pharmacy LLC | Pharmacy | 1103 Kaliste Saloom Rd Ste 103, Lafayette, LA 70508-5783 | 2009-08-06 |
| 1659437929 | Kroger Limited Partnership I | Pharmacy | 2200 Greenbush St, Lafayette, IN 47904-2342 | 2006-12-29 |
| 1285730382 | Thrifty Way Pharmacy, Northside Inc. | Pharmacy | 1419 Moss St, Lafayette, LA 70501-3654 | 2006-09-15 |
| 1881798726 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 3754 Moss St, Lafayette, LA 70507-5537 | 2006-09-12 |
| Find all providers in LAFAYETTE | ||||
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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.