OrganizationActive
Community Pharmacy LLC
NPI 1790280717 · Long Term Care Pharmacy · Monroe, LA
Provider details
- NPI number
- 1790280717
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- William Kiitzke, President(318) 398-2100
- License
- PHY.006459-IR (LA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2904 Forsythe Ave
Monroe, LA 71201-3610
Phone: (318) 398-2100
Fax: (318) 387-7682
Street-level locationGet directions
Mailing address
2904 Forsythe Ave
Monroe, LA 71201-3610
Registry dates
- Enumerated
- 2018-03-30
- Last updated
- 2023-05-24
- Certified
- 2023-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.