Active NPI
James William Selleck, PHARMD
- Pharmacist
- Bossier City, LA
National Provider Identifier
1770060956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.022519
- Practice address
- 4890 Barksdale Blvd
Bossier City, LA 71112-4566 - Phone
- (318) 747-4330
- NPI assigned
- Jul 20, 2018
- Last updated
- Jul 20, 2018
- Sex
- Male
- 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 | PST.022519 | LA | Primary |
Addresses
Primary practice location
4890 Barksdale Blvd
Bossier City, LA 71112-4566
Mailing address
2175 Stockwell Rd Apt 1225
Bossier City, LA 71111-5779
Phone (225) 302-0341
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 |
|---|---|---|---|
| PST.022519 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1770060956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 STOCKWELL RD APT 1225",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711115779",
"telephone_number": "225-302-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4890 BARKSDALE BLVD",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124566",
"telephone_number": "318-747-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLECK",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-20",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.022519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.