Individual provider Active NPI

Debra V. McCann, R.PH., P.D.

  • Pharmacist
  • Alexandria, LA
National Provider Identifier
1154593648
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11458 Issued in LA
Practice address
3311 Prescott Rd
Ste 110
Alexandria, LA 71301-3900
Phone
(318) 442-9846
Fax
(318) 619-9515
NPI assigned
Mar 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11458 LA Primary

Addresses

Primary practice location

3311 Prescott Rd
Ste 110
Alexandria, LA 71301-3900

Mailing address

3311 Prescott Rd
Ste 110
Alexandria, LA 71301-3900
Phone (318) 442-9846

Other identifiers 1

IdentifierTypeStateIssuer
11458OtherLALA BOARD OF PHARMACY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11458LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1154593648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD",
            "address_2": "STE 110",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013900",
            "telephone_number": "318-442-9846",
            "fax_number": "318-619-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD",
            "address_2": "STE 110",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013900",
            "telephone_number": "318-442-9846",
            "fax_number": "318-619-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "DEBRA",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "R.PH., P.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "11458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA BOARD OF PHARMACY",
            "identifier": "11458",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.