Leland Sumrall, PHARM.D.
Individual provider Active NPI Pharmacist · Angie, LA
NPI 1578070751 · NPPES record last updated Jan 9, 2018
Key facts
- NPI
- 1578070751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17192 (LA)
- Practice address
- 30304 Highway 21
Angie, LA 70426-4264 - Phone
- (985) 986-4433
- Fax
- (985) 986-4900
- NPI assigned
- Jan 9, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 17192 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumralls Pharmacy LLC | Current | Accepting new patients |
Locations
30304 Highway 21
Angie, LA 70426
Phone (985) 986-0016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17192 | LA | Yes |
Addresses
Primary practice location
30304 Highway 21
Angie, LA 70426-4264
Mailing address
30304 Highway 21
Angie, LA 70426-4264
Phone (985) 986-4433
Other providers in Angie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2018. 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.