Active NPI
Wellnecessities Pharmacy Lab
- Pharmacist
- Shreveport, LA
National Provider Identifier
1649256058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10973
- Legal business name
- WELLNECESSITIES PHARMACY LAB
- Practice address
- 8835 Line Ave
Shreveport, LA 71106-6718 - Phone
- (318) 222-0885
- Fax
- (318) 861-7431
- NPI assigned
- Dec 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Y Kalstone, MS,RPH
- Title
- Compounding Pharmacist
- Phone
- (318) 222-0885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10973 | LA | Primary |
Addresses
Primary practice location
8835 Line Ave
Shreveport, LA 71106-6718
Mailing address
8835 Line Ave
Shreveport, LA 71106-6718
Phone (318) 222-0885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1271969 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
8835 Line Ave
Shreveport, LA 71106
Phone (318) 222-0885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649256058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 LINE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711066718",
"telephone_number": "318-222-0885",
"fax_number": "318-861-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 LINE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711066718",
"telephone_number": "318-222-0885",
"fax_number": "318-861-7431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNECESSITIES PHARMACY LAB",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KALSTONE",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "COMPOUNDING PHARMACIST",
"authorized_official_telephone_number": "318-222-0885",
"authorized_official_credential": "MS,RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "LA",
"license": "10973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1271969",
"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 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.