NPIMap

Organization Active NPI

Federal Bureau of Prisons

Doing business as Central Fill and Distribution (CFAD)-Pollock Pharmacy

  • Prison Health Clinic/Center
  • Pollock, LA
National Provider Identifier
1497368369
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
FEDERAL BUREAU OF PRISONS
Doing business as
Central Fill and Distribution (CFAD)-Pollock Pharmacy
Practice address
1000 Airbase Rd.
Pollock, LA 71467-3521
Phone
(318) 765-4482
Fax
(318) 765-4459
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FEDERAL BUREAU OF PRISONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Kellie Williams
Title
Chief Pharmacist
Phone
(318) 765-4482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X NU Primary

Addresses

Primary practice location

1000 Airbase Rd.
Pollock, LA 71467-3521

Mailing address

1000 Airbase Rd.
Pollock, LA 71467-3521
Phone (318) 765-4482

Other names 1

  • Central Fill and Distribution (CFAD)-Pollock Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fci Texarkana49 organizations share this tax ID, including this one
Part of
Fci Texarkana

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1497368369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AIRBASE RD.",
            "city": "POLLOCK",
            "state": "LA",
            "postal_code": "714673521",
            "telephone_number": "318-765-4482",
            "fax_number": "318-765-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AIRBASE RD.",
            "city": "POLLOCK",
            "state": "LA",
            "postal_code": "714673521",
            "telephone_number": "318-765-4482",
            "fax_number": "318-765-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL BUREAU OF PRISONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEDERAL BUREAU OF PRISONS",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "318-765-4482"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Fill and Distribution (CFAD)-Pollock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pollock, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.