Active NPI
Creel's Family Pharmacy LLC
- Pharmacy
- Franklinton, LA
National Provider Identifier
1407990534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 4171
- Legal business name
- CREEL'S FAMILY PHARMACY LLC
- Practice address
- 26496 Highway 62
Franklinton, LA 70438-7968 - Phone
- (985) 848-5555
- Fax
- (985) 848-4444
- NPI assigned
- Feb 20, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Randolph Creel, RPH
- Title
- Owner
- Phone
- (985) 848-5555
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 4171 | LA | Primary |
Addresses
Primary practice location
26496 Highway 62
Franklinton, LA 70438-7968
Mailing address
26496 Highway 62
Franklinton, LA 70438-7968
Phone (985) 848-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0330477 | Medicaid | MS | |
| 1266833 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170914001948 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850665878 | Practice locations: Franklinton, LA |
National Provider Directory
National Provider DirectoryLocations
26496 Highway 62
Franklinton, LA 70438
Phone (985) 848-5555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Franklinton, LA
- NPI 1477840411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407990534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26496 HIGHWAY 62",
"city": "FRANKLINTON",
"state": "LA",
"postal_code": "704387968",
"telephone_number": "985-848-5555",
"fax_number": "985-848-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26496 HIGHWAY 62",
"city": "FRANKLINTON",
"state": "LA",
"postal_code": "704387968",
"telephone_number": "985-848-5555",
"fax_number": "985-848-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREEL'S FAMILY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CREEL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "RANDOLPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-848-5555",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "LA",
"license": "4171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0330477",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1266833",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklinton, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.