Angela Orr Collins

Primary specialty

PharmacistTaxonomy code 183500000X

License

13426 Issued in LA

Practice address

2017 E Madison Ave
Bastrop, LA 71220-4070

Phone

(318) 281-6646

Fax

(318) 281-1336

NPI assigned

Mar 24, 2008

Last updated

Mar 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Freds Stores of Tennessee Inc

  dba Freds Pharmacy 3648

  • Community/Retail Pharmacy
  • Greenville, MS
  • NPI 1093969016
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1659543254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 TEMPLETON LOOP",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712696559",
            "telephone_number": "318-237-7688",
            "fax_number": "318-281-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 E MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204070",
            "telephone_number": "318-281-6646",
            "fax_number": "318-281-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ANGELA",
        "middle_name": "ORR",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "13426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Clark, DO
• Shomowna Clark
• Clinton a Netherland, MD Apmc (Clinton a Netherland, MD)
• Loreal Cloman
• Sharivia Coleman
• Complacent Conversations Counseling and Consulting, LLC
• Susan C Coston, RN
• Crayton Counseling and Consulting LLC
• Kimberly N Crnkovic, P.D.
• Jonathan Brett Crosby, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.