Dixie Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR3413856 Issued in LA

Legal business name

DIXIE PHARMACY, INC.

Practice address

615 8TH St
Colfax, LA 71417-1414

Phone

(318) 627-5428

Fax

(318) 627-4187

NPI assigned

Jun 16, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel H Reitzell Jr., RPH

Title

Cheif Pharmacist

Phone

(318) 627-5428

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel B Reitzell, PHARMD

  • Pharmacist
  • Colfax, LA
  • NPI 1184624215
  NPD
• Sammy H Reitzell Jr.

  • Pharmacist
  • Colfax, LA
  • NPI 1487640298
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013912047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 8TH ST",
            "city": "COLFAX",
            "state": "LA",
            "postal_code": "714171414",
            "telephone_number": "318-627-5428",
            "fax_number": "318-627-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 8TH ST",
            "city": "COLFAX",
            "state": "LA",
            "postal_code": "714171414",
            "telephone_number": "318-627-5428",
            "fax_number": "318-627-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "REITZELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHEIF PHARMACIST",
        "authorized_official_telephone_number": "318-627-5428",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "AR3413856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1904691",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1212903",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charise Clark
• Colfax Nursing and Rehab, L.L.C.
• Colwell Interest, Inc. (Central Grant Community Home)
• Summer Craig Guidry, FNP-C
• Crossroads Medical Consultants LLC
• Laura Crump Fairbanks, MD
• Fleur de Lis Healthcare, LLC (Colfax Reunion Nursing and Rehab Center)
• Wendy H Futrell, SPECIAL INSTRUCTOR
• Grant Parish School Board
• Grant Parish School Board

• Pharmacy in Colfax, LA
• Providers in Colfax, LA by specialty
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.