John Edward Zitzmann III, R.PH.
Individual provider Active NPI Pharmacist · West Monroe, LA
NPI 1003848151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003848151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9992 (LA)
- Practice address
- 503 McMillan Rd
West Monroe, LA 71291-5327 - Phone
- (318) 329-4643
- Fax
- (318) 329-4647
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9992 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9992 | LA | Yes |
Addresses
Primary practice location
503 McMillan Rd
West Monroe, LA 71291-5327
Mailing address
202 Comanche TRL
West Monroe, LA 71291-8108
Phone (318) 396-3679
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9992 | Other | LA | STATE LICENSE NUMBER |
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.