NPIMap

Organization Active NPI

Centramed Radiopharmacy, LLC

Doing business as Centramed Radiopharmacy

  • Nuclear Pharmacy
  • Monroe, LA
National Provider Identifier
1528111838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacyTaxonomy code 3336N0007X
License
5695-NU Issued in LA
Legal business name
CENTRAMED RADIOPHARMACY, LLC
Doing business as
Centramed Radiopharmacy
Practice address
348 Desiard St
Suite C
Monroe, LA 71201-7429
Phone
(318) 323-3673
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Russell Stuart Roberts, RPH, BCNP
Title
Owner
Phone
(318) 323-3673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Pharmacy 3336N0007X 5695-NU LA Primary

Addresses

Primary practice location

348 Desiard St
Suite C
Monroe, LA 71201-7429

Mailing address

348 Desiard St
Suite C
Monroe, LA 71201-7429
Phone (318) 323-3673

Other names 1

  • Centramed Radiopharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

348 Desiard St
Ste C
Monroe, LA 71201
Phone (318) 323-3673

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528111838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 DESIARD ST",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017429",
            "telephone_number": "318-323-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 DESIARD ST",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017429",
            "telephone_number": "318-323-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAMED RADIOPHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-323-3673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, BCNP"
    },
    "taxonomies": [
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "LA",
            "license": "5695-NU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centramed Radiopharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.