Specialty Pharmacy Services Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

3823-IR Issued in LA

Legal business name

SPECIALTY PHARMACY SERVICES INC

Practice address

1821 N Washington St
Bastrop, LA 71220-2441

Phone

(318) 281-6660

Fax

(318) 281-3292

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edgar Warren Walker, RPH

Title

Owner/Sec-Treas/RPH

Phone

(318) 281-6660

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619956216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712202441",
            "telephone_number": "318-281-6660",
            "fax_number": "318-281-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712202441",
            "telephone_number": "318-281-6660",
            "fax_number": "318-281-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER/SEC-TREAS/RPH",
        "authorized_official_telephone_number": "318-281-6660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "3823-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "1926851",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA BLUE CROSS B/S",
            "identifier": "B9207",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1263494",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Pharmacist in Louisiana

• 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.