Active NPI
Christina Gayle Marcantel
- Pharmacist
- Eunice, LA
National Provider Identifier
1366759755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14276
- Practice address
- 1200 W Maple Ave
Eunice, LA 70535-4320 - Phone
- (337) 457-5216
- Fax
- (337) 457-0920
- NPI assigned
- Sep 7, 2010
- Last updated
- Sep 7, 2010
- 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 | 14276 | LA | Primary |
Addresses
Primary practice location
1200 W Maple Ave
Eunice, LA 70535-4320
Mailing address
1200 W Maple Ave
Eunice, LA 70535-4320
Phone (337) 457-5216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1894460 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14276 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Avenue Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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 Maple Avenue Pharmacy
- Community/Retail Pharmacy
- Eunice, LA
- NPI 1982791174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1366759755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W MAPLE AVE",
"city": "EUNICE",
"state": "LA",
"postal_code": "705354320",
"telephone_number": "337-457-5216",
"fax_number": "337-457-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W MAPLE AVE",
"city": "EUNICE",
"state": "LA",
"postal_code": "705354320",
"telephone_number": "337-457-5216",
"fax_number": "337-457-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCANTEL",
"first_name": "CHRISTINA",
"middle_name": "GAYLE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1894460",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eunice, LA
- Jillian H Manuel, P.T.
- Kathy Lynn Manuel, LICENSED PROFESSIONA
- Monica West Manuel, M.S., CCC-SLP
- Sylvan J. Manuel Jr., RPH
- Maple Avenue Pharmacy Inc (Maple Avenue Pharmacy)
- Lisa Marie Marks, M.S.
- Tina Marie Marks, M.S., CCC-SLP
- Crystal Gail Marshall
- Candase Miller Martel, LPC-S
- Catherine Ann Martin, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.