Active NPI
Carl Richard Bibbee II, PHARMD
- Pharmacist
- Benton, LA
National Provider Identifier
1295358190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17147
- Practice address
- 100 Sibley St
Benton, LA 71006-8354 - Phone
- (318) 963-1165
- NPI assigned
- May 26, 2020
- Last updated
- Sep 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 17147 | LA | Primary |
Addresses
Primary practice location
100 Sibley St
Benton, LA 71006-8354
Mailing address
PO Box 664
Benton, LA 71006-0664
Phone (318) 308-2704
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 |
|---|---|---|---|
| 17147 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arklatex Apothecary, LLC | Current | Accepting new patients | |
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
Locations
100 Sibley St
Benton, LA 71006
Phone (318) 963-1165
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arklatex Apothecary
- Community/Retail Pharmacy
- Benton, LA
- NPI 1942088455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694822400000",
"number": "1295358190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 664",
"city": "BENTON",
"state": "LA",
"postal_code": "710060664",
"telephone_number": "318-308-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SIBLEY ST",
"city": "BENTON",
"state": "LA",
"postal_code": "710068354",
"telephone_number": "318-963-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBBEE",
"first_name": "CARL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-26",
"last_updated": "2023-09-16",
"certification_date": "2023-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.