NPIMap

Organization Active NPI

Capitol City Family Health Center, Incorporated

Doing business as Caresouth

  • Pharmacy
  • Shreveport, LA
National Provider Identifier
1750020053
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
Doing business as
Caresouth
Practice address
8730 Youree Dr
Shreveport, LA 71115-2500
Phone
(318) 408-1508
Fax
(318) 408-1509
NPI assigned
Jun 3, 2022
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Maimouna Keita
Title
Cfo
Phone
(225) 650-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

8730 Youree Dr
Shreveport, LA 71115-2500

Mailing address

PO Box 66156
Baton Rouge, LA 70896-6156
Phone (225) 650-2000

Other names 1

  • CARESOUTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capitol City Family Health Center Incorporated15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

8730 Youree Dr
Shreveport, LA 71115
Phone (318) 405-1505

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1750020053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66156",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966156",
            "telephone_number": "225-650-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152500",
            "telephone_number": "318-408-1508",
            "fax_number": "318-408-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "KEITA",
        "authorized_official_first_name": "MAIMOUNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-650-2000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARESOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 31, 2024; 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.