Charles Little
Individual provider Active NPI Pharmacist · Winnfield, LA
NPI 1356744544 · NPPES record last updated Oct 1, 2014
Key facts
- NPI
- 1356744544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15012 (LA)
- Practice address
- 2001 W Court St
Winnfield, LA 71483-4601 - Phone
- (318) 648-6410
- NPI assigned
- Oct 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15012 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15012 | LA | Yes |
Addresses
Primary practice location
2001 W Court St
Winnfield, LA 71483-4601
Mailing address
2001 W Court St
Winnfield, LA 71483-4601
Other providers in Winnfield, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.