NPIMap

Organization Active NPI

West Carroll Memorial Hospital

  • Community/Retail Pharmacy
  • Oak Grove, LA
National Provider Identifier
1770543464
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5244-IR Issued in LA
Legal business name
WEST CARROLL MEMORIAL HOSPITAL
Doing business as
WEST CARROLL HOSPITAL OUTPATIENT
Practice address
706 Ross St
Oak Grove, LA 71263-9798
Phone
(318) 428-6155
Fax
(318) 428-6172
NPI assigned
Mar 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelli Sciara, RPH
Title
Auth Rep Pharm Director
Phone
(318) 428-6252

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5244-IR LA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

706 Ross St
Oak Grove, LA 71263-9798

Mailing address

706 Ross St
Oak Grove, LA 71263-9798
Phone (318) 428-6155

Other identifiers 3

IdentifierTypeStateIssuer
1272019MedicaidLA
112673407MedicaidAR
1925758OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • WEST CARROLL HOSPITAL OUTPATIENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Carroll Medical Clinic9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1770543464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-6155",
            "fax_number": "318-428-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-6155",
            "fax_number": "318-428-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CARROLL MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-25",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "SCIARA",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "AUTH REP PHARM DIRECTOR",
        "authorized_official_telephone_number": "318-428-6252",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "5244-IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1272019",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112673407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1925758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST CARROLL HOSPITAL OUTPATIENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Grove, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.