Community Pharmacy of Sterlington

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COMMUNITY PHARMACY OF STERLINGTON

Practice address

200 Scott Dr
Sterlington, LA 71280

Phone

(318) 667-0197

Fax

(318) 667-0190

NPI assigned

Sep 17, 2020

Last updated

Feb 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Kyle Klitzke

Title

President

Phone

(318) 381-9091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1093321812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 FORSYTHE AVE",
            "address_2": "ATTN: CP STERLINGTON",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013610",
            "telephone_number": "318-398-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SCOTT DR",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "71280",
            "telephone_number": "318-667-0197",
            "fax_number": "318-667-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY OF STERLINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "KLITZKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-381-9091"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Fautheree Bryant
• Kevin Paul Burris
• Carmen Calhoun
• Marty L Carroll, LPC
• Elania Walker Clark, LMSW
• Pam Cook, FNP
• Tunjia Corbin
• Loretta Curry
• Torironda Douzart
• Misty L Ellerbe Carlson, P.A.

• Community/Retail Pharmacy in Sterlington, LA
• Providers in Sterlington, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.