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Organization Active NPI

Pharmacy Services of Winnfield Inc

Doing business as Pharmacy Services of Winnfield Vital Care

  • Durable Medical Equipment & Medical Supplies
  • Winnfield, LA
National Provider Identifier
1366502841
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5357-IR Issued in LA
Legal business name
PHARMACY SERVICES OF WINNFIELD INC
Doing business as
Pharmacy Services of Winnfield Vital Care
Practice address
100 Main Street
Winnfield, LA 71483
Phone
(318) 628-3536
Fax
(318) 628-3576
NPI assigned
Dec 12, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mr. Stephen Ralph Shelton
Title
President
Phone
(318) 628-3536

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5357-IR LA Primary
Customized Equipment (DME) 332BC3200X 5357-IR LA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 5357-IR LA
Oxygen Equipment & Supplies (DME) 332BX2000X 5357-IR LA
Pharmacy 333600000X 5357-IR LA
Community/Retail Pharmacy 3336C0003X 5357-IR LA
Home Infusion Therapy Pharmacy 3336H0001X 5357-IR LA
Long Term Care Pharmacy 3336L0003X 5357-IR LA
Mail Order Pharmacy 3336M0002X 5357-IR LA
Specialty Pharmacy 3336S0011X 5357-IR LA

Addresses

Primary practice location

100 Main Street
Winnfield, LA 71483

Mailing address

PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095

Other identifiers 4

IdentifierTypeStateIssuer
1271900MedicaidLA
7212212630OtherLABCBS DME
1261947MedicaidLA
1924453OtherNABP

Other names 1

  • Pharmacy Services of Winnfield Vital Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Services of Winnfield Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1366502841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025047",
            "telephone_number": "800-447-4095",
            "fax_number": "601-482-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN STREET",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "71483",
            "telephone_number": "318-628-3536",
            "fax_number": "318-628-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SERVICES OF WINNFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-628-3536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "5357-IR",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "5357-IR",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "LA",
            "license": "5357-IR",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "5357-IR",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "5357-IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "5357-IR",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "LA",
            "license": "5357-IR",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "5357-IR",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "LA",
            "license": "5357-IR",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "LA",
            "license": "5357-IR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271900",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME",
            "identifier": "7212212630",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1261947",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1924453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Services of Winnfield Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.