Active NPI
Michael Douglas McBride, RPH
- Pharmacist
- Shreveport, LA
National Provider Identifier
1912598103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14242
- Practice address
- 9510 Ellerbe Rd
Shreveport, LA 71106-7406 - Phone
- (318) 797-3272
- NPI assigned
- Jan 29, 2021
- Last updated
- Jan 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14242 | LA | Primary |
Addresses
Primary practice location
9510 Ellerbe Rd
Shreveport, LA 71106-7406
Mailing address
7907 Don David Dr
Shreveport, LA 71129-4652
Phone (318) 207-1034
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14242 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
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": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1912598103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7907 DON DAVID DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711294652",
"telephone_number": "318-207-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9510 ELLERBE RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067406",
"telephone_number": "318-797-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "MICHAEL",
"middle_name": "DOUGLAS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14242",
"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 Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.