Active NPI
Louisiana CVS Pharmacy, L.L.C.
Doing business as CVS Pharmacy
- Pharmacy
- Shreveport, LA
National Provider Identifier
1215031141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 5405
- Legal business name
- LOUISIANA CVS PHARMACY, L.L.C.
- Doing business as
- CVS Pharmacy
- Practice address
- 3300 Youree Dr
Shreveport, LA 71105-2116 - Phone
- (318) 869-3453
- Fax
- (318) 869-0784
- NPI assigned
- Sep 12, 2006
- Last updated
- Nov 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Colbert
- Title
- Director,Payer Relatiions
- Phone
- (401) 770-7751
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5405 | LA | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
3300 Youree Dr
Shreveport, LA 71105-2116
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001265713 | Medicaid | LA | |
| 1901823 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- CVS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930028796 | LA | DME Supplier - Pharmacy | 7113120312 | Practice locations: Shreveport, LA |
| O20101022000661 | LA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113120312 |
This NPI is an additional NPI on the enrollment Practice locations: Marksville, LA; Marrero, LA; Metairie, LA; Morgan City, LA; New Iberia, LA; Opelousas, LA; Plaquemine, LA; Ponchatoula, LA… |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #05329 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Louisiana CVS Pharmacy
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Pharmacist
- Morgan City, LA
- NPI 1144504432
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290038400000",
"number": "1215031141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "PO BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052116",
"telephone_number": "318-869-3453",
"fax_number": "318-869-0784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA CVS PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2010-11-18",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR,PAYER RELATIIONS",
"authorized_official_telephone_number": "401-770-7751"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "LA",
"license": "5405",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001265713",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1901823",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shreveport, LA
- Louisiana Association for the Blind, Inc.
- Louisiana Behavioral Health LLC
- Louisiana Cardiovascular Associates Ampc Dba Louisiana Heart Associate
- Louisiana CVS Pharmacy LLC (CVS Pharmacy #16686)
- Louisiana CVS Pharmacy LLC (CVS Pharmacy #04743)
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05325)
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05360)
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy # 10941)
- Louisiana Education & Addiction Network
- Louisiana Em-1 Medical Services, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.