Community RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COMMUNITY RX

Practice address

1003 S Spruce St
Vivian, LA 71082-3200

Phone

(318) 375-3180

Fax

(318) 731-3035

NPI assigned

Oct 7, 2021

Last updated

Jun 30, 2025By 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

David Jones

Title

Ceo

Phone

(318) 375-4008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• North Caddo Hospital Service District

  dba NCMC Medical & Surgical Clinic

  • Rural Health Clinic/Center
  • Vivian, LA
  • NPI 1013181866

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1083376990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710820792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 S SPRUCE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823200",
            "telephone_number": "318-375-3180",
            "fax_number": "318-731-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-375-4008"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3912708",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Harder Brazelton, M.S., CCC-SLP
• Grant Breeland, MD
• John Mac Chandler, M.D.
• Viola Combs
• Community Reference Lab
• Sandra T Dennis, MHS
• Linda Dillard
• Kelli Dominick, M.ED., LD, RD, CDE
• Don Addie Caddo Optical (Caddo Optical)
• Olivia M Edwards

• Community/Retail Pharmacy in Vivian, LA
• Providers in Vivian, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.