Organization Active NPI

CVS

  • Public Health or Welfare Agency
  • Shreveport, LA
National Provider Identifier
1154736064
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
CDS.039623 Issued in LA
Legal business name
CVS
Practice address
7004 Youree Drive
Shreveport, LA 71005
Phone
(318) 797-3665
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Mrs. Angela Waldron Allums, RPH
Title
Pharmacist-in-Charge
Phone
(318) 553-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X CDS.039623 LA Primary

Addresses

Primary practice location

7004 Youree Drive
Shreveport, LA 71005

Mailing address

7005 Youree Drive
Shreveport, LA 71005
Phone (318) 797-3665

National Provider Directory

National Provider Directory

Locations

7005 Youree Dr
Shreveport, LA 71005

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1154736064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 YOUREE DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71005",
            "telephone_number": "318-797-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 YOUREE DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71005",
            "telephone_number": "318-797-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "ALLUMS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "WALDRON",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "318-553-2726",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "LA",
            "license": "CDS.039623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.