IndividualActive
Carly Bordelon, PHARM.D.
NPI 1962834630 · Pharmacist · Bogalusa, LA
Provider details
- NPI number
- 1962834630
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- PST020209 (LA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1619 S Columbia St
Bogalusa, LA 70427-5824
Phone: (985) 732-5752
Fax: (985) 732-5921
Street-level locationGet directions
Mailing address
18083 Three Rivers Rd
Covington, LA 70433-8950
Registry dates
- Enumerated
- 2013-08-05
- Last updated
- 2013-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.