Pharmacy Services of Winnfield Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.005357IR Issued in LA

Legal business name

PHARMACY SERVICES OF WINNFIELD INCORPORATED

Doing business as

Pharmacy Services of Winnfield

Practice address

100 W Main St
Winnfield, LA 71483-3239

Phone

(318) 628-3575

Fax

(318) 628-3576

NPI assigned

Aug 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 Ralph Shelton, DP

Title

Pharmacist-in-Charge

Phone

(318) 628-3575

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• PHARMACY SERVICES OF WINNFIELD Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1669586640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1437",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714831437",
            "telephone_number": "318-628-2905",
            "fax_number": "318-628-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833239",
            "telephone_number": "318-628-3575",
            "fax_number": "318-628-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SERVICES OF WINNFIELD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "318-628-3575",
        "authorized_official_credential": "DP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.005357IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271900",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2032655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY SERVICES OF WINNFIELD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHARMACY SERVICES OF WINNFIELD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry L Payne, M.D.
• Crystal Pennington, DNP
• Shane Louis Pennison, APRN, FNP-C
• Pharmacy Services of Winnfield Inc (Pharmacy Services of Winnfield Vital Care)
• Pharmacy Services of Winnfield Incorporated
• Sylvia Denise Powell, FNP
• Premier Hospitalist Winnfield LLC
• Carter Whitridge Quayle, MD
• Veronica Ramirez
• Randy R Cole DDS

• Community/Retail Pharmacy in Winnfield, LA
• Providers in Winnfield, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.