PBM SOLUTIONS COUSHATTA LLC


Address: 287 Panther Trail Dr, Kinder, LA 70648
Phone: 3377384170

PBM SOLUTIONS COUSHATTA LLC (NPI# 1548823370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548823370
Entity Type Organization
Organization Name PBM SOLUTIONS COUSHATTA LLC
Practice Address 287 Panther Trail Dr
Kinder
LA 70648
Practice Telephone 3377384170
Practice Fax Number 3377384171
Mailing Telephone 3377384170
Mailing Fax Number 3377384171
Enumeration Date 2019-04-17
Last Update Date 2019-04-17
Authorized Official Name PHILIPPE PUCHEU (OWNER/MANAGER)
Authorized Official Telephone 3377384170
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
LA DEA FC8268977 01
LA LOUISIANA PHARMACY PERMIT 007882 01

Other Provider/Organization Names

Other Name Type Code
Coushatta Family Pharmacy Doing Business As Name - Organization

Office Location

Street Address 287 PANTHER TRAIL DR
City KINDER
State LA
Zip Code 70648

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477175610 Lindsey R Landry Speech-Language Pathologist 13938 Us-165, Kinder, LA 70648 2020-05-11
1396189247 Pelican Healthcare System LLC Clinic/Center 152 Old Sawmill Road, Kinder, LA 70648 2013-04-22
1851667497 Bayou Chirocare Chiropractor 107 1st Ave., Kinder, LA 70648 2012-03-28
1861725913 Walgreen Co. Durable Medical Equipment & Medical Supplies 287 Panther Trail, Kinder, LA 70648 2009-09-08
1285873497 Laci Smalley Dietitian, Registered 287 Panther Trail Drive, Kinder, LA 70648 2009-02-11
1528284676 Kinder Eye Care Optometrist 442 N 9th St, #2, Kinder, LA 70648 2007-04-17
1225251432 Allen Parish Hosptial Rural Health Clinic Family Medicine 108 6th Ave., Kinder, LA 70648 2007-04-10
1245356849 Gene Michael Karam Dentist 323 N 8th Street, Kinder, LA 70648 2007-03-22
1760520449 Neck and Back Clinic of Kinder Inc Chiropractor 107 1st Ave, Kinder, LA 70648 2007-02-02
1629132543 Healthworks Med Group of Louisiana Family Medicine 121 Turkey Lane, Kinder, LA 70648 2006-12-22
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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NPI Name Taxonomy Address Enumeration
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1114495355 Iberia Comprehensive Community Health Center Pharmacy 1009 Charity Street, Abbeville, LA 70510-5239 2018-11-06
1780152157 Vernon Parish Community Health Center Pharmacy Pharmacy 298 Nolan Trace Pkway, Leesville, LA 71446-3912 2018-11-05
1639702087 Teche Action Board, Inc. Pharmacy 1124 7th St, Morgan City, LA 70380-1951 2020-02-13
1790158681 Obh Region 8 Pharmacy Pharmacy 4800 S Grand St, Monroe, LA 71202-6412 2015-11-02
1558756742 South Central La Human Services Authority Pharmacy Pharmacy 1809 W Airline Hwy, La Place, LA 70068-3336 2015-04-03
1740617364 Our Lady of The Angels Hospital, Inc. Pharmacy 400 Memphis Street, Bogalusa, LA 70427 2013-09-27
1790021939 Icare Pharmacy LLC Pharmacy 104 Darwin Cir, Lafayette, LA 70508-7110 2012-12-17
1831490531 Specialists Hospital of Shreveport LLC Pharmacy 1500 Line Ave, Ste #104b, Shreveport, LA 71101-4639 2010-11-11
1255646568 Marillac Community Health Centers Pharmacy 3201 S Carrollton Ave, New Orleans, LA 70118-4307 2010-08-11
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Competitor

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City KINDER
Zip Code 70648

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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