Active NPI
Laltc Pharmacy Solutions, LLC
- Long Term Care Pharmacy
- Pineville, LA
National Provider Identifier
1700557667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- LALTC PHARMACY SOLUTIONS, LLC
- Doing business as
- LALTC PHARMACY SOLUTIONS
- Practice address
- 4628 Highway 28 E
Pineville, LA 71360-7733 - Phone
- (833) 334-0004
- Fax
- (866) 415-7005
- NPI assigned
- Sep 21, 2021
- 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
- Carolyn Marie Sims
- Title
- Cfo/Owner
- Phone
- (409) 659-1373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
4628 Highway 28 E
Pineville, LA 71360-7733
Mailing address
160 Allen St Ste 500
Lumberton, TX 77657-7065
Phone (833) 334-0004
Other names 1
- LALTC PHARMACY SOLUTIONS
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csims@ltcpharmacyservices.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230719002009 | LA | Part B Supplier - Pharmacy | 2668832817 | Practice locations: Pineville, LA |
National Provider Directory
National Provider DirectoryLocations
4628 Highway 28 E
Pineville, LA 71360
Phone (318) 427-7505
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tyler, TX
- NPI 1659031052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633305600000",
"number": "1700557667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ALLEN ST STE 500",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776577065",
"telephone_number": "833-334-0004",
"fax_number": "866-415-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4628 HIGHWAY 28 E",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713607733",
"telephone_number": "833-334-0004",
"fax_number": "866-415-7005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LALTC PHARMACY SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-21",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CFO/OWNER",
"authorized_official_telephone_number": "409-659-1373"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csims@ltcpharmacyservices.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4628 Highway 28 E",
"city": "Pineville",
"state": "LA",
"country_code": "US",
"postal_code": "713607733",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "LALTC PHARMACY SOLUTIONS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LALTC PHARMACY SOLUTIONS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.