Specialists Hospital of Shreveport LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY006385IR Issued in LA

Legal business name

SPECIALISTS HOSPITAL OF SHREVEPORT LLC

Practice address

1500 Line Ave
Ste #104B
Shreveport, LA 71101-4639

Phone

(318) 213-3350

Fax

(318) 231-3811

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Kenneth Wilhite

Title

Pharmacist in Charge

Phone

(318) 213-3350

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Specialists Pharmacy Doing business as

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.

• Specialists Hospital of Louisiana

  • Physical Therapy Clinic/Center
  • Shreveport, LA
  • NPI 1538451851
  NPD tax ID
• Specialists Hospital Shreveport

  • Community/Retail Pharmacy
  • Shreveport, LA
  • NPI 1790196657
  NPD tax ID
• Specialists Hospital Shreveport, LLC

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1104057694
  NPD tax ID

Locations

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1831490531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE",
            "address_2": "104B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014639",
            "telephone_number": "318-213-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE",
            "address_2": "STE #104B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014639",
            "telephone_number": "318-213-3350",
            "fax_number": "318-231-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS HOSPITAL OF SHREVEPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "WILHITE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "318-213-3350"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY006385IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialists Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teressa Marshell Spearman
• Curtis Wayne Spears Sr., L.P.C.
• David Wayne Spears, RPH
• Monique Renesha Spears, MD
• Specialists Hospital of Louisiana
• Specialists Hospital Shreveport
• Specialists Hospital Shreveport, LLC
• Specialists Hospital Shreveport, LLC
• Victoria Lomax Specian, PA-C
• Darrell Specks

• Community/Retail Pharmacy in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.