Active NPI
Christy Min
- Pharmacist
- Alexandria, LA
National Provider Identifier
1164980777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00830
- Practice address
- 2050 N Mall Dr
Alexandria, LA 71301-3619 - Phone
- (318) 445-2300
- NPI assigned
- Mar 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 00830 | LA | Primary |
Addresses
Primary practice location
2050 N Mall Dr
Alexandria, LA 71301-3619
Mailing address
163 Dickey St
Fort Polk, LA 71459-3546
Phone (443) 355-9111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00830 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1164980777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 DICKEY ST",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714593546",
"telephone_number": "443-355-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 N MALL DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013619",
"telephone_number": "318-445-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "CHRISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "00830",
"primary": true
}
],
"identifiers": [],
"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 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.