Lil Boos Corner Store LLC
NPI 1639619653 · Community/Retail Pharmacy · Boyce, LA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lil Boos Corner Store LLC is a Community/Retail Pharmacy organization in Boyce, LA (NPI 1639619653).
Provider details
- NPI number
- 1639619653
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Robert Maddox IV, Owner(318) 793-2028
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
9 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
- Lil Boos Pharmacy
Registry dates
- Enumerated
- 2017-02-24
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Frequently asked questions
- What is Lil Boos Corner Store LLC's NPI number?
- Lil Boos Corner Store LLC's National Provider Identifier (NPI) is 1639619653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lil Boos Corner Store LLC?
- Lil Boos Corner Store LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lil Boos Corner Store LLC located?
- Lil Boos Corner Store LLC's practice location on file with NPPES is 415 St. Clair Rd. Ste. C, Boyce, LA 71409.
- What is Lil Boos Corner Store LLC's phone number?
- The practice phone number listed in the NPPES registry for Lil Boos Corner Store LLC is (318) 793-2028.
- Does Lil Boos Corner Store LLC accept Medicare?
- Lil Boos Corner Store 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 Lil Boos Corner Store LLC?
- The authorized official listed on Lil Boos Corner Store LLC's NPPES record is Robert Maddox IV, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lil Boos Corner Store LLC's NPI active?
- Yes — Lil Boos Corner Store LLC's NPI (1639619653) is active in the NPPES registry as of the last update on 2023-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.