Northside Pharmacy LLC
Northside Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Lafayette, LA, holding Type 2 (organization) NPI 1184778532 since 2007. The authorized official on file is Nolan Courville, Managing Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184778532 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northside Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 2930 MOSS ST, STE A, Lafayette, LA, 70501 |
| Phone | 3372322666 |
| Fax | 3372335978 |
| Enumeration date | 2007-01-23 |
| Last updated in NPPES | 2017-03-15 |
Authorized official
| Name | Nolan Courville |
|---|---|
| Title | Managing Partner |
| Phone | 3372322666 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY004593IR | LA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2028323 | Other | — | PK |
| 1268496 | Medicaid | LA | — |
Copy-ready billing details
Provider: Northside Pharmacy LLC NPI: 1184778532 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2930 MOSS ST, STE A, Lafayette, LA, 70501
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821052754 | Bryan Lebean | Individual | Internal Medicine Physician | Lafayette, LA |
| 1093848657 | Bryan A. Lebean,Sr,MD,Apmc | Organization | Internal Medicine Physician | Lafayette, LA |
| 1184908832 | Lebean Sleep Center LLC | Organization | Sleep Disorder Diagnostic Clinic/Center | Lafayette, LA |
Verify this record
Cross-check NPI 1184778532 against the authoritative CMS record: view Northside Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Northside Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-03-15.