NPIMap

Organization Active NPI

Cental la State Hospital Pharmacy

  • Psychiatric Hospital
  • Pineville, LA
National Provider Identifier
1770700460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
C000150-H Issued in LA
Legal business name
CENTAL LA STATE HOSPITAL PHARMACY
Practice address
244 West Shamrock St
Pineville, LA 71360
Phone
(318) 484-6666
Fax
(318) 484-6339
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeff Linzay, RPH
Title
Pharmacy Director
Phone
(318) 484-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X C000150-H LA Primary

Addresses

Primary practice location

244 West Shamrock St
Pineville, LA 71360

Mailing address

244 West Shamrock St
P.O. Box 5031
Pineville, LA 71360
Phone (318) 484-6666

National Provider Directory

National Provider Directory
Tax ID family
Central la State Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

244 W Shamrock St
Pineville, LA 71360
Phone (318) 484-6666

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770700460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WEST SHAMROCK ST",
            "address_2": "P.O. BOX 5031",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-484-6666",
            "fax_number": "318-484-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WEST SHAMROCK ST",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-484-6666",
            "fax_number": "318-484-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTAL LA STATE HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINZAY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "318-484-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "C000150-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.

Verify at the official NPI Registry.