NPIMap

Organization Active NPI

Complete Vital Care, Inc.

Doing business as Complete Vital Care II

  • Pharmacy
  • Alexandria, LA
National Provider Identifier
1023048790
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
4436-IR Issued in LA
Legal business name
COMPLETE VITAL CARE, INC.
Doing business as
Complete Vital Care II
Practice address
4801 Jackson Street Ext # B
Alexandria, LA 71303-2508
Phone
(318) 473-8800
Fax
(318) 473-8005
NPI assigned
Jul 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ted Gardiner
Title
President
Phone
(318) 473-8800

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4436-IR LA
Customized Equipment (DME) 332BC3200X 4436-IR LA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 4436-IR LA
Oxygen Equipment & Supplies (DME) 332BX2000X 4436-IR LA
Pharmacy 333600000X 4436-IR LA Primary
Community/Retail Pharmacy 3336C0003X 4436-IR LA
Home Infusion Therapy Pharmacy 3336H0001X 4436-IR LA
Long Term Care Pharmacy 3336L0003X 4436-IR LA
Mail Order Pharmacy 3336M0002X 4436-IR LA
Specialty Pharmacy 3336S0011X 4436-IR LA

Addresses

Primary practice location

4801 Jackson Street Ext # B
Alexandria, LA 71303-2508

Mailing address

PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095

Other names 1

  • Complete Vital Care II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Complete Vital Care - Shreveport18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

4801 Jackson Street Ext
#B
Alexandria, LA 71303
Phone (318) 448-6764

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023048790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025047",
            "telephone_number": "800-447-4095",
            "fax_number": "601-482-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 JACKSON STREET EXT # B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032508",
            "telephone_number": "318-473-8800",
            "fax_number": "318-473-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VITAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-473-8800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "4436-IR",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "4436-IR",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "LA",
            "license": "4436-IR",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "4436-IR",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "4436-IR",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "4436-IR",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "LA",
            "license": "4436-IR",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "4436-IR",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "LA",
            "license": "4436-IR",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "LA",
            "license": "4436-IR",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Vital Care II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.