Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Park Pharmacy LLC

Organization Pharmacy · NPI 1619385812

Park Pharmacy LLC is a Pharmacy in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2014.

Licensed in
LA
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4811 Ambassador Caffery Pkwy Ste 101
Lafayette, LA 70508-7266
Phone: (337) 806-9000
Fax: (337) 806-9074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY006937IR (LA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1619385812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Primeaux — Owner/Manager · (337) 806-9000
Other names Park Pharmacy
NPI enumeratedJuly 31, 2014
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020
Mailing address4811 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-7266

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