Organization Active NPI

Creel's Family Pharmacy LLC

  • Pharmacy
  • Franklinton, LA
National Provider Identifier
1407990534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
4171 Issued in LA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Randolph Creel, RPHNPI 1477840411
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0330477MedicaidMS
1266833MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170914001948 LA Part B Supplier - Mass Immunization (Roster Biller Only) 1850665878 Practice locations: Franklinton, LA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.