Individual provider Active NPI

Shomichael Stephens, PHARMD

  • Pharmacist
  • Logansport, LA
National Provider Identifier
1831427665
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18428 Issued in LA
Practice address
204 Main St
Logansport, LA 71049-2997
Phone
(318) 697-4381
Fax
(318) 697-5311
NPI assigned
Dec 7, 2009
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41142 TX
Pharmacist 183500000X 18428 LA Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 18428 LA

Addresses

Primary practice location

204 Main St
Logansport, LA 71049-2997

Mailing address

PO Box 68
Logansport, LA 71049-0068
Phone (318) 697-4381

Other practice location 1

6235 Westport Ave
Shreveport, LA 71129-2503
Phone (318) 688-7705

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL headricksdrugs@gmail.com Health Information Exchange (HIE)

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
41142TXMDPharmacist
18428LAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Pharmacy Consulting, LLC Current Accepting new patients
Red River Pharmacy Consulting, LLC Current Accepting new patients

Locations

204 Main St
Stanley, LA 71049
Phone (318) 697-4381

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1831427665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "LOGANSPORT",
            "state": "LA",
            "postal_code": "710490068",
            "telephone_number": "318-697-4381",
            "fax_number": "318-697-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MAIN ST",
            "city": "LOGANSPORT",
            "state": "LA",
            "postal_code": "710492997",
            "telephone_number": "318-697-4381",
            "fax_number": "318-697-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6235 Westport Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711292503",
            "country_code": "US",
            "telephone_number": "318-688-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SHOMICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "41142",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "18428",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "LA",
            "license": "18428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "headricksdrugs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "204 Main St",
            "city": "Logansport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710492997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logansport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.