Active NPI
Breannie Charles, PHARMD
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1205261690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.020203
- Practice address
- 5551 Corporate Blvd
Ste 102
Baton Rouge, LA 70808-2567 - Phone
- (225) 924-1930
- NPI assigned
- Sep 5, 2013
- Last updated
- Feb 15, 2016
- 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 | PST.020203 | LA | Primary |
Addresses
Primary practice location
5551 Corporate Blvd
Ste 102
Baton Rouge, LA 70808-2567
Mailing address
5551 Corporate Blvd
Ste 102
Baton Rouge, LA 70808-2567
Phone (225) 924-1930
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.020203 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1205261690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5551 CORPORATE BLVD",
"address_2": "STE 102",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708082567",
"telephone_number": "225-924-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5551 CORPORATE BLVD",
"address_2": "STE 102",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708082567",
"telephone_number": "225-924-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "BREANNIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.020203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.