Medsource Pharmacy Services

Primary specialty

PharmacyTaxonomy code 333600000X

License

14961 Issued in LA

Legal business name

MEDSOURCE PHARMACY SERVICES

Practice address

2223 Worley Dr
Alexandria, LA 71301-3631

Phone

(318) 487-1884

Fax

(318) 487-1299

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Leo Riche, RPH

Title

Pic

Phone

(318) 487-1884

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073518643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 WORLEY DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 WORLEY DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013631",
            "telephone_number": "318-487-1884",
            "fax_number": "318-487-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RICHE",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "318-487-1884",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "14961",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1270750",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1931016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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.