Individual provider Active NPI

Allison Reeves Granger

  • Pharmacist
  • Arcadia, LA
National Provider Identifier
1801484563
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.017736 Issued in LA
Practice address
1982 N Railroad Ave
Arcadia, LA 71001-3422
Phone
(318) 263-2919
Fax
(318) 263-9819
NPI assigned
Jan 7, 2021
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PST.017736 LA Primary

Addresses

Primary practice location

1982 N Railroad Ave
Arcadia, LA 71001-3422

Mailing address

1982 N Railroad Ave
Arcadia, LA 71001-3422
Phone (318) 263-2919

Other identifiers 1

IdentifierTypeStateIssuer
PST.017736OtherLALOUISIANA BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
PST.017736LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1801484563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 N RAILROAD AVE",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013422",
            "telephone_number": "318-263-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 N RAILROAD AVE",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013422",
            "telephone_number": "318-263-2919",
            "fax_number": "318-263-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "ALLISON",
        "middle_name": "REEVES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.017736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF PHARMACY",
            "identifier": "PST.017736",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.