Organization Active NPI

A & Z Pharmacy LLC

Doing business as Kings Pharmacy

  • Pharmacy
  • Shreveport, LA
National Provider Identifier
1417047929
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY006413IR Issued in LA
Legal business name
A & Z PHARMACY LLC
Doing business as
Kings Pharmacy
Practice address
3102 Linwood Ave
Shreveport, LA 71103-4231
Phone
(318) 635-8159
Fax
(318) 631-7688
NPI assigned
Oct 13, 2006
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Syed ZulfiqarNPI 1720488257
Title
Owner
Phone
(214) 421-2210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY006413IR LA Primary

Addresses

Primary practice location

3102 Linwood Ave
Shreveport, LA 71103-4231

Mailing address

3102 Linwood Ave
Shreveport, LA 71103-4231
Phone (318) 635-8159

Other identifiers 2

IdentifierTypeStateIssuer
2133746OtherPK
2200909MedicaidLA

Other names 1

  • Kings Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Z Pharmacy 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1417047929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034231",
            "telephone_number": "318-635-8159",
            "fax_number": "318-631-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034231",
            "telephone_number": "318-635-8159",
            "fax_number": "318-631-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & Z PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "ZULFIQAR",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-421-2210"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "PHY006413IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133746",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200909",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 2021; 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.