Organization Active NPI

Healthcare Pharmacy LLC

  • Long Term Care Pharmacy
  • Shreveport, LA
National Provider Identifier
1508853540
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
7465-IR Issued in LA
Legal business name
HEALTHCARE PHARMACY LLC
Practice address
8720 Quimper PL Ste 300
Shreveport, LA 71105-5742
Phone
(318) 671-9603
Fax
(318) 671-1106
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Douglas Edward Robichaux, RPH
Title
Manager
Phone
(318) 671-9603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 7465-IR LA Primary

Addresses

Primary practice location

8720 Quimper PL Ste 300
Shreveport, LA 71105-5742

Mailing address

8720 Quimper PL Ste 300
Shreveport, LA 71105-5742
Phone (318) 671-9603

Other identifiers 2

IdentifierTypeStateIssuer
7465-IROtherLALOUISIANA BOARD OF PHARMACY PERMIT
2205161MedicaidLA

National Provider Directory

National Provider Directory

Locations

8720 Quimper Pl
Ste 300
Shreveport, LA 71105
Phone (318) 445-8770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508853540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 QUIMPER PL STE 300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055742",
            "telephone_number": "318-671-9603",
            "fax_number": "318-671-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 QUIMPER PL STE 300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055742",
            "telephone_number": "318-671-9603",
            "fax_number": "318-671-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROBICHAUX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-671-9603",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "7465-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF PHARMACY PERMIT",
            "identifier": "7465-IR",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205161",
            "state": "LA"
        }
    ],
    "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 Mar 7, 2023; 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.