Active NPI
Clifton Harrell White, R.PH.
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1528285772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10933
- Practice address
- 5344 Brittany Dr
Baton Rouge, LA 70808-4344 - Phone
- (225) 766-7828
- Fax
- (225) 766-9985
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 10933 | LA | Primary |
Addresses
Primary practice location
5344 Brittany Dr
Baton Rouge, LA 70808-4344
Mailing address
5023 Waterford Dr
Zachary, LA 70791-2412
Phone (225) 654-9575
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10933 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528285772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5023 WATERFORD DR",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912412",
"telephone_number": "225-654-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5344 BRITTANY DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084344",
"telephone_number": "225-766-7828",
"fax_number": "225-766-9985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CLIFTON",
"middle_name": "HARRELL",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "10933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.