NPIMap

Organization Active NPI

Shamrock Street Pharmacy

  • Community/Behavioral Health Agency
  • Pineville, LA
National Provider Identifier
1427365600
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PHY-006280-INX Issued in LA
Legal business name
SHAMROCK STREET PHARMACY
Practice address
242 West Shamrock Street
Unit 2, Room 120
Pineville, LA 71360-6439
Phone
(318) 484-6665
Fax
(318) 484-6483
NPI assigned
Sep 9, 2010
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL LA STATE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Mr. Jeff S Linzay, REGISTERED PHARMACIS
Title
Pharmacy Director
Phone
(318) 484-6665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PHY-006280-INX LA Primary

Addresses

Primary practice location

242 West Shamrock Street
Unit 2, Room 120
Pineville, LA 71360-6439

Mailing address

242 West Shamrock Street
Unit 2, Room 120
Pineville, LA 71360-6439
Phone (318) 484-6665

Other names 1

  • Central La State Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
Shamrock Street Pharmacy11 organizations share this tax ID, including this one
Part of
Shamrock Street Pharmacy

Other organizations with this tax ID 10

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

Locations

242 W Shamrock Ave
Unit 2
Pineville, LA 71360
Phone (318) 484-6665

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1427365600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WEST SHAMROCK STREET",
            "address_2": "UNIT 2, ROOM 120",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606439",
            "telephone_number": "318-484-6665",
            "fax_number": "318-484-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WEST SHAMROCK STREET",
            "address_2": "UNIT 2, ROOM 120",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606439",
            "telephone_number": "318-484-6665",
            "fax_number": "318-484-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMROCK STREET PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL LA STATE HOSPITAL",
        "enumeration_date": "2010-09-09",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "LINZAY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "318-484-6665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED PHARMACIS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "PHY-006280-INX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central La State Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.