NPIMap

Organization Active NPI

Children's Pharmacy

  • Pharmacy
  • Lake Charles, LA
National Provider Identifier
1184019846
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY-007098-IR Issued in LA
Legal business name
CHILDREN'S PHARMACY
Practice address
4111 Lake St
Lake Charles, LA 70605-4305
Phone
(337) 502-4873
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Chuck K. Self, ADMINISTRATOR
Title
Administrator
Phone
(337) 478-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY-007098-IR LA Primary

Addresses

Primary practice location

4111 Lake St
Lake Charles, LA 70605-4305

Mailing address

4111 Lake St
Lake Charles, LA 70605-4305
Phone (337) 502-4873

National Provider Directory

National Provider Directory
Tax ID family
Children's Pharmacy2 organizations share this tax ID, including this one
Part of
Children's Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1184019846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054305",
            "telephone_number": "337-502-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054305",
            "telephone_number": "337-502-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S PHARMACY",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-478-6480",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "PHY-007098-IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.