NPIMap

Organization Active NPI

Capitol City Family Health Center, Incorporated

Doing business as Care South

  • Community/Retail Pharmacy
  • Zachary, LA
National Provider Identifier
1063972966
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
Doing business as
Care South
Practice address
4852 Highway 19
Zachary, LA 70791-3530
Phone
(225) 478-9030
NPI assigned
Mar 25, 2019
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Matthew Valliere
Title
Ceo
Phone
(225) 650-2026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4852 Highway 19
Zachary, LA 70791-3530

Mailing address

PO Box 66156
Baton Rouge, LA 70896-6156
Phone (225) 478-9030

Other names 1

  • Care South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capitol City Family HLT15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1063972966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66156",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966156",
            "telephone_number": "225-478-9030",
            "fax_number": "225-615-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 HIGHWAY 19",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913530",
            "telephone_number": "225-478-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "VALLIERE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-650-2026"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.