Organization Active NPI

Springhill Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Springhill, LA
National Provider Identifier
1902838949
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SPRINGHILL FAMILY PHARMACY LLC
Practice address
1190 S Arkansas Street
Springhill, LA 71075
Phone
(318) 539-3451
Fax
(318) 539-9230
NPI assigned
Jul 7, 2006
Last updated
Nov 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Peter Saad
Title
Manager
Phone
(318) 259-7334

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1190 S Arkansas Street
Springhill, LA 71075

Mailing address

1190 S Arkansas St
Springhill, LA 71075-3824
Phone (318) 539-3258

Other identifiers 3

IdentifierTypeStateIssuer
1261505MedicaidLA
1925253OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1925253OtherNCPDP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210521000902 LA Part B Supplier - Pharmacy 0547669632 Practice locations: Springhill, LA

National Provider Directory

National Provider Directory

Locations

500 Alexander St
Jonesboro, LA 71251
Phone (318) 259-7334

1190 S Arkansas St
Springhill, LA 71075
Phone (318) 539-3258

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1902838949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 S ARKANSAS ST",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710753824",
            "telephone_number": "318-539-3258",
            "fax_number": "318-539-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S ARKANSAS STREET",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "71075",
            "telephone_number": "318-539-3451",
            "fax_number": "318-539-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGHILL FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-259-7334"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1261505",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1925253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1925253",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springhill, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.