Specialty Medical Supply of Louisiana, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

5232 Issued in LA

Legal business name

SPECIALTY MEDICAL SUPPLY OF LOUISIANA, LLC

Practice address

3426 Cypress St
West Monroe, LA 71291-7399

Phone

(318) 397-3800

Fax

(318) 397-3860

NPI assigned

Mar 20, 2006

Last updated

Aug 22, 2020By 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

Mr. Bain A Foote

Title

Managing Partner

Phone

(318) 397-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Specialty Medical Supply of la2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Specialty Medical Supply of la

  • Durable Medical Equipment & Medical Supplies
  • West Monroe, LA
  • NPI 1316915689
  NPD tax ID

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275592214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2574",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712942574",
            "telephone_number": "318-397-3800",
            "fax_number": "318-397-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917399",
            "telephone_number": "318-397-3800",
            "fax_number": "318-397-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY MEDICAL SUPPLY OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "BAIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "318-397-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "5232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271446",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Eileen Southern, PD
• Sozo Recovery LLC
• Lisa K Spann, MED, CRC, LPC
• Specialty Imaging L.L.C.
• Specialty Medical Supply of la
• Allison McLeod Spillers
• Sonya Spillers, M.A. LPC, LMFT
• Anna Elizabeth Spires, PT
• Kristyn Devun Squyres, FNP
• Karen Renee Stansbury, FNP-C

• Pharmacy in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.