Active NPI
Kelsey Tomb Carter, PHARMD
- Pharmacist
- Jackson, LA
National Provider Identifier
1609355304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022564
- Practice address
- 1701 Charter St
Jackson, LA 70748-5927 - Phone
- (225) 634-2470
- NPI assigned
- Aug 13, 2018
- Last updated
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 022564 | LA | Primary |
Addresses
Primary practice location
1701 Charter St
Jackson, LA 70748-5927
Mailing address
PO Box 299
Jackson, LA 70748-0299
Phone (225) 719-1105
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022564 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R.C.McDonald Co Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1609355304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "JACKSON",
"state": "LA",
"postal_code": "707480299",
"telephone_number": "225-719-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CHARTER ST",
"city": "JACKSON",
"state": "LA",
"postal_code": "707485927",
"telephone_number": "225-634-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KELSEY",
"middle_name": "TOMB",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "022564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, LA
- Marcelita A Bermudez, MD
- Candace Biggs, FNP
- Bio-Medical Applications of Louisiana, LLC (FMC Dialysis Services Felicianas)
- Julia Smith Boudreaux, LCSW
- Shelby Buckley, MD
- Cataldie Publishing LLC (Positive Direction Recovery Resource)
- Allison B Coleman, LCSW
- Hugh A Coleman, RPH
- Rhonda B Coleman, RPH
- Krista Phillips Connell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.