Active NPI
Michael McCrory
- Pharmacist
- Hammond, LA
National Provider Identifier
1679942254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.009957
- Practice address
- 18150 Highway 190 E
Hammond, LA 70401-3400 - Phone
- (985) 345-7122
- Fax
- (985) 345-7162
- NPI assigned
- Sep 24, 2015
- Last updated
- Sep 24, 2015
- 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 | PST.009957 | LA | Primary |
Addresses
Primary practice location
18150 Highway 190 E
Hammond, LA 70401-3400
Mailing address
18150 Highway 190 E
Hammond, LA 70401-3400
Phone (985) 345-7122
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.009957 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PF Spam LLC | Past | Accepting new patients | |
| PF Spam LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1679942254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18150 HIGHWAY 190 E",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704013400",
"telephone_number": "985-345-7122",
"fax_number": "985-345-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18150 HIGHWAY 190 E",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704013400",
"telephone_number": "985-345-7122",
"fax_number": "985-345-7162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRORY",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.009957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.