OrganizationActive
Iberia Comprehensive Community Health Center,inc.
NPI 1639027063 · Clinic Pharmacy · Lafayette, LA
Provider details
- NPI number
- 1639027063
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Parent organization
- Iberia Comprehensive Community Health Center,inc.
- Organization subpart
- Yes
- Authorized official
- Reginald Boutte, Pharmacist(337) 365-4945
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1400 Surrey St
Lafayette, LA 70501-7752
Phone: (337) 365-4945
Street-level locationGet directions
Mailing address
806 Jefferson Ter
New Iberia, LA 70560-5727
Other names (DBA / former)
- Doing business as
- Surrey Street Community Health Center Pharmacy
Registry dates
- Enumerated
- 2026-03-20
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.