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Poinciana Pharmacy LLC

Community/Retail Pharmacy in Mamou, LA · enumerated 2010 · authorized official Robin Deshotel, Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811219827

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Poinciana Pharmacy LLC
Other name <Unavail>
Practice address 1508 Cajun Dr Ste A, Mamou, LA, 70554
Fax (337) 468-5102
Enumeration date Feb 17, 2010
Last updated in NPPES May 2, 2025

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHY.006222-IR (LA) Primary
3336L0003X Long Term Care Pharmacy Suppliers · License PHY.006222-IR (LA) Secondary

Authorized official

Name Robin Deshotel
Title Pic

Other identifiers

Identifier Type State Issuer
2123858 Other - PK
1235598 Medicaid LA -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-02. Verify at npiregistry.cms.hhs.gov.
Where is Poinciana Pharmacy LLC located?
The practice location on file with NPPES is in Mamou, LA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-02.