Organization Active NPI

New Tech

  • Non-Pharmacy Dispensing Site
  • Shreveport, LA
National Provider Identifier
1396290060
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
NEW TECH
Practice address
410 Kay LN
Shreveport, LA 71115-3604
Phone
(800) 710-9348
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Trent Jackson
Title
Director of Alternate Care
Phone
(800) 710-9348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

410 Kay LN
Shreveport, LA 71115-3604

Mailing address

410 Kay LN
Shreveport, LA 71115-3604

National Provider Directory

National Provider Directory

Locations

410 Kay Ln
Shreveport, LA 71115
Phone (318) 797-7900

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1396290060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 KAY LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 KAY LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153604",
            "telephone_number": "800-710-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "DIRECTOR OF ALTERNATE CARE",
        "authorized_official_telephone_number": "800-710-9348"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "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 Aug 23, 2016; 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.