Individual provider Active NPI

Colton Flavius Splane, PHARMD

  • Pharmacist
  • Hammond, LA
National Provider Identifier
1043807498
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
123456789 Issued in LA
Practice address
2300 W Thomas St
Hammond, LA 70401-2830
Phone
(985) 345-3448
NPI assigned
Dec 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 123456789 LA Primary

Addresses

Primary practice location

2300 W Thomas St
Hammond, LA 70401-2830

Mailing address

17387 Fussell Rd
Kentwood, LA 70444-4517
Phone (985) 974-7204

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL CVS
CONNECT URL CVS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
123456789LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana CVS Pharmacy, L.L.C. PastSince Jan 3, 2021 Accepting new patients
Louisiana CVS Pharmacy LLC PastSince Jan 3, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1043807498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17387 FUSSELL RD",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704444517",
            "telephone_number": "985-974-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012830",
            "telephone_number": "985-345-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLANE",
        "first_name": "COLTON",
        "middle_name": "FLAVIUS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "123456789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "N",
            "address_1": "2300 W Thomas St",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704012830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "N",
            "address_1": "2300 W Thomas St",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704012830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.