Bryce Laningham, PHARM D
Individual provider Active NPI Pharmacist · Bernice, LA
NPI 1548834005 · NPPES record last updated May 18, 2021
Key facts
- NPI
- 1548834005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 022594 (LA)
- Practice address
- 417 E 4TH St
Bernice, LA 71222 - Phone
- (318) 285-9521
- NPI assigned
- May 18, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022594 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bernice Pharmacy Inc | Past |
Accepting new patients | |
| The Bernice Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022594 | LA | Yes |
Addresses
Primary practice location
417 E 4TH St
Bernice, LA 71222
Mailing address
PO Box 636
Bernice, LA 71222-0636
Phone (318) 285-9521
Other providers in Bernice, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.