Line Avenue Pharmacy Inc

Primary specialty

Nuclear PharmacyTaxonomy code 3336N0007X

License

LA 4001-NU Issued in LA

Legal business name

LINE AVENUE PHARMACY INC

Doing business as

Shreveport Nuclear Pharmacy

Practice address

1822 Line Ave
Shreveport, LA 71101-4612

Phone

(318) 221-5114

Fax

(318) 221-5137

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Randall Caudle, PD

Title

President/Owner

Phone

(318) 221-5114

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shreveport Nuclear Pharmacy Doing business as

Locations

Practitioners 1

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

• Stephen Andrew Snelling, PHARM.D.

  • Pharmacist
  • Shreveport, LA
  • NPI 1811661838
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619058468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014612",
            "telephone_number": "318-221-5114",
            "fax_number": "318-221-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014612",
            "telephone_number": "318-221-5114",
            "fax_number": "318-221-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINE AVENUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CAUDLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "318-221-5114",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "LA 3999-IR",
            "primary": false
        },
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "LA",
            "license": "LA 4001-NU",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1266841",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shreveport Nuclear Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Grayson LCSW LLC
• Jenson Isaura Lindamood
• Anita A Lindley, N.P.
• Jeremy Lindsay
• Katina Lindsey
• Sarah Link
• Timothy Jordan Link, MD
• Amber Michelle Linn, MCD, CCC-SLP
• Brenda Linnear
• Darnell Linnear

• Pharmacy in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.