Individual provider Active NPI

Stewart Cornelius Rabb, PHARMD

  • Pharmacist
  • Shreveport, LA
National Provider Identifier
1760292809
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.018219 Issued in LA
Practice address
8720 Quimper PL Ste 300
Shreveport, LA 71105-5742
Phone
(318) 671-9303
Fax
(318) 671-1106
NPI assigned
Jan 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.018219 LA Primary

Addresses

Primary practice location

8720 Quimper PL Ste 300
Shreveport, LA 71105-5742

Mailing address

8720 Quimper PL Ste 300
Shreveport, LA 71105-5742
Phone (318) 671-9303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PST.018219LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Pharmacy LLC PastSince Jan 12, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1760292809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 QUIMPER PL STE 300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055742",
            "telephone_number": "318-671-9303",
            "fax_number": "318-671-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 QUIMPER PL STE 300",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055742",
            "telephone_number": "318-671-9303",
            "fax_number": "318-671-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABB",
        "first_name": "STEWART",
        "middle_name": "CORNELIUS",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.018219",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 10, 2025; 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.