OrganizationActive
Park Pharmacy LLC
NPI 1073109633 · Long Term Care Pharmacy · Lafayette, LA
Park Pharmacy LLC is a Long Term Care Pharmacy organization in Lafayette, LA (NPI 1073109633).
Provider details
- NPI number
- 1073109633
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Shane Primeaux, Pharmacist in Charge(337) 806-9000
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
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
4811 Ambassador Caffery Pkwy Ste 101
Lafayette, LA 70508-7266
Phone: (337) 806-9000
Street-level locationGet directions
Mailing address
4811 Ambassador Caffery Pkwy Ste 101
Lafayette, LA 70508-7266
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Frequently asked questions
- What is Park Pharmacy LLC's NPI number?
- Park Pharmacy LLC's National Provider Identifier (NPI) is 1073109633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Pharmacy LLC?
- Park Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Park Pharmacy LLC located?
- Park Pharmacy LLC's practice location on file with NPPES is 4811 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-7266.
- What is Park Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Park Pharmacy LLC is (337) 806-9000.
- Who is the authorized official for Park Pharmacy LLC?
- The authorized official listed on Park Pharmacy LLC's NPPES record is Shane Primeaux, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Pharmacy LLC's NPI active?
- Yes — Park Pharmacy LLC's NPI (1073109633) is active in the NPPES registry as of the last update on 2024-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.