Park Pharmacy LLC
NPI 1619385812 · Community/Retail Pharmacy · Lafayette, LA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Park Pharmacy LLC is a Community/Retail Pharmacy organization in Lafayette, LA (NPI 1619385812).
Provider details
- NPI number
- 1619385812
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Shane Primeaux, Owner/Manager(337) 806-9000
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- Park Pharmacy
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2020-12-17
- Certified
- 2020-12-17
Frequently asked questions
- What is Park Pharmacy LLC's NPI number?
- Park Pharmacy LLC's National Provider Identifier (NPI) is 1619385812, 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 Community/Retail 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.
- Does Park Pharmacy LLC accept Medicare?
- Park Pharmacy 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 Park Pharmacy LLC?
- The authorized official listed on Park Pharmacy LLC's NPPES record is Shane Primeaux, Owner/Manager. 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 (1619385812) is active in the NPPES registry as of the last update on 2020-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.