Active NPI
Christopher Lee Vaughan, P. D.
- Pharmacist
- Ferriday, LA
National Provider Identifier
1760770044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14608
- Practice address
- 109 Ee Wallace Blvd N
Ferriday, LA 71334-2819 - Phone
- (318) 757-4811
- Fax
- (318) 757-4439
- NPI assigned
- Jul 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14608 | LA | Primary |
| Pharmacist | 183500000X | E-7903 | MS |
Addresses
Primary practice location
109 Ee Wallace Blvd N
Ferriday, LA 71334-2819
Mailing address
109 Ee Wallace Blvd N
P. O. Box 647
Ferriday, LA 71334-2819
Phone (318) 757-4811
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 |
|---|---|---|---|
| 14608 | LA | MD | Pharmacist |
| E-7903 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vaughans City Drugs of Concordia Inc. | Current | Accepting new patients |
Locations
109 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 757-4811
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 and National Provider Directory roles.
-
dba Vaughans City Drugs
- Community/Retail Pharmacy
- Ferriday, LA
- NPI 1366504169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1760770044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 EE WALLACE BLVD N",
"address_2": "P. O. BOX 647",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713342819",
"telephone_number": "318-757-4811",
"fax_number": "318-757-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 EE WALLACE BLVD N",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713342819",
"telephone_number": "318-757-4811",
"fax_number": "318-757-4439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "CHRISTOPHER",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "P. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14608",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-7903",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferriday, LA
- Amber Leigh Trisler, LCOTA
- David Turner
- Kimberly Turner, LPN
- Unique Professional PCS
- United Hands Counseling Center LLC
- Vaughans City Drugs of Concordia Inc. (Vaughans City Drugs)
- Visions Therapy Services (Visions At Home Physical Therapy)
- Vital Care of Miss-Lou, Inc.
- Davis Beard Walton, DDS
- Ruby Iva Ward, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.