Northeast la Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY005546IR Issued in LA

Legal business name

NORTHEAST LA PHARMACY

Doing business as

National Pharmacy Services

Practice address

8860 Quimper PL
Suite 100
Shreveport, LA 71105-5686

Phone

(318) 797-9517

Fax

(318) 212-0057

NPI assigned

Jun 2, 2006

Last updated

Nov 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Robichaux, RPH

Title

Regional Director of Operations-Nor

Phone

(318) 797-9517

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NATIONAL PHARMACY SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1649218728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 QUIMPER PL",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055686",
            "telephone_number": "318-797-9517",
            "fax_number": "318-212-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 QUIMPER PL",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055686",
            "telephone_number": "318-797-9517",
            "fax_number": "318-212-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST LA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "ROBICHAUX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS-NOR",
        "authorized_official_telephone_number": "318-797-9517",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "PHY005546IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034907",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275221",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATIONAL PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NATIONAL PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Long Term Care Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.