NPIMap

Organization Active NPI

Specialists Hospital Shreveport

  • Community/Retail Pharmacy
  • Shreveport, LA
National Provider Identifier
1790196657
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
011350 Issued in LA
Legal business name
SPECIALISTS HOSPITAL SHREVEPORT
Practice address
1500 Line Avenue
Suite 206
Shreveport, LA 71101
Phone
(318) 213-3800
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Mrs. Kandi Moore, CEO
Title
Ceo
Phone
(318) 213-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 011350 LA Primary

Addresses

Primary practice location

1500 Line Avenue
Suite 206
Shreveport, LA 71101

Mailing address

1500 Line Avenue
Suite 206
Shreveport, LA 71101
Phone (318) 213-3800

National Provider Directory

National Provider Directory
Tax ID family
Specialists Hospital of Louisiana4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/spechs-dc855768

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1790196657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LINE AVENUE",
            "address_2": "SUITE 206",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-213-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVENUE",
            "address_2": "SUITE 206",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-213-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS HOSPITAL SHREVEPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KANDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-213-3800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "011350",
            "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 May 14, 2014; 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.