NPIMap

Organization Active NPI

Chitimacha Pharmacy

  • Clinic Pharmacy
  • Charenton, LA
National Provider Identifier
1255401022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
CHITIMACHA PHARMACY
Practice address
3231 Chitimacha Trail
Charenton, LA 70523
Phone
(337) 923-9955
Fax
(337) 923-7791
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Christie Nicole Soileau, P.D.
Title
Chief Pharmacist
Phone
(337) 923-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

3231 Chitimacha Trail
Charenton, LA 70523

Mailing address

3231 Chitimacha Trail
Charenton, LA 70523
Phone (337) 923-9955

Other identifiers 1

IdentifierTypeStateIssuer
1233978MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Chitimacha Tribe of la2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255401022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 CHITIMACHA TRAIL",
            "city": "CHARENTON",
            "state": "LA",
            "postal_code": "70523",
            "telephone_number": "337-923-9955",
            "fax_number": "337-923-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 CHITIMACHA TRAIL",
            "city": "CHARENTON",
            "state": "LA",
            "postal_code": "70523",
            "telephone_number": "337-923-9955",
            "fax_number": "337-923-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITIMACHA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOILEAU",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "337-923-9955",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1233978",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charenton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.