Individual provider Active NPI

Christine Adele Ackal, RPH

  • Pharmacist
  • Youngsville, LA
National Provider Identifier
1902083769
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15539 Issued in LA
Practice address
814 Fortune Rd Ste 109
Youngsville, LA 70592-5542
Phone
(337) 298-0937
Fax
(337) 394-5435
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15539 LA Primary

Addresses

Primary practice location

814 Fortune Rd Ste 109
Youngsville, LA 70592-5542

Mailing address

814 Fortune Rd Ste 109
Youngsville, LA 70592-5542
Phone (337) 298-0937

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
15539LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ackal's Community Pharmacy,Inc Current Accepting new patients

Locations

814 Fortune Rd
Ste 109
Youngsville, LA 70592
Phone (337) 298-0937

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, 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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1902083769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 FORTUNE RD STE 109",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925542",
            "telephone_number": "337-298-0937",
            "fax_number": "337-394-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 FORTUNE RD STE 109",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925542",
            "telephone_number": "337-298-0937",
            "fax_number": "337-394-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKAL",
        "first_name": "CHRISTINE",
        "middle_name": "ADELE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.