Community Pharmacy of Winnsboro

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.007500-IR Issued in LA

Legal business name

COMMUNITY PHARMACY OF WINNSBORO

Practice address

3326 Front St Ste D
Winnsboro, LA 71295-6406

Phone

(318) 435-9681

Fax

(318) 435-9065

NPI assigned

Jun 23, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kaye Waller

Title

Accounting Manager

Phone

(318) 412-0349

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Nicole Laws, PHARMD

  • Pharmacist
  • Winnsboro, LA
  • NPI 1225327588
  NPD
• Lori Black

  • Pharmacist
  • Winnsboro, LA
  • NPI 1396580619
  NPD (past)
• Cynthia Gahagan

  • Pharmacist
  • Winnsboro, LA
  • NPI 1417356593
  NPD (past)

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1194245837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712951350",
            "telephone_number": "318-412-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 FRONT ST STE D",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712956406",
            "telephone_number": "318-435-9681",
            "fax_number": "318-435-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY OF WINNSBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "318-412-0349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007500-IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eula A Coleman, FNP
• Colvin Medical Corporation
• Thomas L Colvin, MD
• Jeffrey John Combetta, M.D.
• Community Care Medical Transportation LLC
• Mark M. Cotter, MD
• Barbara Jean Cottingham, PHD
• Jimmy R Coughran, MD
• Crawford Chiropractic LLC
• Jessica Ellen Credle, NP

• All providers in Winnsboro, LA
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.