Organization Active NPI

FTW Lake Charles LLC

  • Long Term Care Pharmacy
  • Lake Charles, LA
National Provider Identifier
1275404378
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FTW LAKE CHARLES LLC
Practice address
1505 W McNeese St
Lake Charles, LA 70605-4241
Phone
(337) 477-7733
Fax
(337) 477-6996
NPI assigned
Sep 13, 2025
Organization subpart
Yes
Parent organization
FTW LAKE CHARLES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Authorized official

Name
Glynda S FuselierNPI 1255688776
Title
Owner
Phone
(337) 477-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1505 W McNeese St
Lake Charles, LA 70605-4241

Mailing address

1505 W McNeese St
Lake Charles, LA 70605-4241
Phone (337) 477-7733

National Provider Directory

National Provider Directory
Tax ID family
FTW Lake Charles LLC2 organizations share this tax ID, including this one
Part of
FTW Lake Charles LLC

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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757721600000",
    "number": "1275404378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054241",
            "telephone_number": "337-477-7733",
            "fax_number": "337-477-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054241",
            "telephone_number": "337-477-7733",
            "fax_number": "337-477-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FTW LAKE CHARLES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FTW LAKE CHARLES LLC",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A",
        "authorized_official_last_name": "FUSELIER",
        "authorized_official_first_name": "GLYNDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-477-7733"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "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 Sep 13, 2025; 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.