Active NPI
Specialty Medical Supply of la
- Durable Medical Equipment & Medical Supplies
- West Monroe, LA
National Provider Identifier
1316915689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2215507-001
- Legal business name
- SPECIALTY MEDICAL SUPPLY OF LA
- Practice address
- 3426 Cypress St
Suite 13
West Monroe, LA 71291-7319 - Phone
- (318) 397-3800
- Fax
- (318) 397-3860
- NPI assigned
- Mar 10, 2006
- 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
- Mr. Bain Foote
- Title
- Managing Partner
- Phone
- (318) 397-3800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2215507-001 | LA | Primary |
| Pharmacy | 333600000X | 2215507-001 | LA |
Addresses
Primary practice location
3426 Cypress St
Suite 13
West Monroe, LA 71291-7319
Mailing address
3426 Cypress St
Suite 13
West Monroe, LA 71291-7319
Phone (318) 397-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1271446 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Specialty Medical Supply of la
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- West Monroe, LA
- NPI 1275592214
Locations
3426 Cypress St
Ste 13
West Monroe, LA 71291
Phone (318) 397-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1316915689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3426 CYPRESS ST",
"address_2": "SUITE 13",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917319",
"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",
"address_2": "SUITE 13",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917319",
"telephone_number": "318-397-3800",
"fax_number": "318-397-3860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY MEDICAL SUPPLY OF LA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "FOOTE",
"authorized_official_first_name": "BAIN",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "318-397-3800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "LA",
"license": "2215507-001",
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "LA",
"license": "2215507-001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1271446",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- 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.