Vidrine Pharmaceutical Group, LLC
NPI 1043838469 · Compounding Pharmacy · Lake Charles, LA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vidrine Pharmaceutical Group, LLC is a Compounding Pharmacy organization in Lake Charles, LA (NPI 1043838469).
Provider details
- NPI number
- 1043838469
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Parent organization
- Vidrine Pharmaceutical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Jesse Vidrine, Owner(337) 436-7216
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Boudreaux'S New Drug Store
Registry dates
- Enumerated
- 2020-07-13
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Frequently asked questions
- What is Vidrine Pharmaceutical Group, LLC's NPI number?
- Vidrine Pharmaceutical Group, LLC's National Provider Identifier (NPI) is 1043838469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vidrine Pharmaceutical Group, LLC?
- Vidrine Pharmaceutical Group, LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Vidrine Pharmaceutical Group, LLC located?
- Vidrine Pharmaceutical Group, LLC's practice location on file with NPPES is 404 E Prien Lake Rd, Lake Charles, LA 70601-8507.
- What is Vidrine Pharmaceutical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Vidrine Pharmaceutical Group, LLC is (337) 436-7216.
- Does Vidrine Pharmaceutical Group, LLC accept Medicare?
- Vidrine Pharmaceutical Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vidrine Pharmaceutical Group, LLC?
- The authorized official listed on Vidrine Pharmaceutical Group, LLC's NPPES record is Jesse Vidrine, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vidrine Pharmaceutical Group, LLC's NPI active?
- Yes — Vidrine Pharmaceutical Group, LLC's NPI (1043838469) is active in the NPPES registry as of the last update on 2020-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.