Charles C McCartney III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PST.010565 Issued in LA

Practice address

1849 Line Ave
Shreveport, LA 71101-4611

Phone

(318) 221-0691

Fax

(318) 221-9769

NPI assigned

Sep 25, 2014

Last updated

Sep 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Pill Box Pharmacy Incorporated

  dba Medic Pharmacy

  • Community/Retail Pharmacy
  • Shreveport, LA
  • NPI 1134272644
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1508268160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014611",
            "telephone_number": "318-221-0691",
            "fax_number": "318-221-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014611",
            "telephone_number": "318-221-0691",
            "fax_number": "318-221-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.010565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry McCallum, CPRSS/PSS/WRAP
• Payton Brooks McCalmont
• Faris McCalphin, MHS
• Raymond Drew McCandlish, RPH
• Hollie B. McCart, MD
• Hailey Tupper McCartney, MD
• James McCarty, MD
• Kimberly Bickham McClelland, LCSW
• Heather Ratzburg McClenahan, MCD, CCC-SLP
• Kesha McClendon

• Pharmacist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.