Active NPI
Louis Morgan Drugs No 4 Inc
- Long Term Care Pharmacy
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 1028
- Legal business name
- LOUIS MORGAN DRUGS NO 4 INC
- Practice address
- 110 Johnston St
Longview, TX 75601-3909 - Phone
- (903) 758-6164
- Fax
- (903) 758-1721
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shawn Eric Sams, PHARM D. , R.PH.
- Title
- Vice President
- Phone
- (903) 758-6164
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 1028 | TX | Primary |
Addresses
Primary practice location
110 Johnston St
Longview, TX 75601-3909
Mailing address
110 Johnston St
Longview, TX 75601-3909
Phone (903) 758-6164
Other practice location 1
110 Johnston St
Longview, TX 75601-3909
Phone (903) 758-6164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140972 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930014209 | TX | DME Supplier - Pharmacy | 7012035843 | Practice locations: Longview, TX |
| O20120411000276 | TX | Part B Supplier - Pharmacy | 7012035843 | Practice locations: Longview, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Louis Morgan Drug 4 LTC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Longview, TX
- NPI 1447729850
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Longview, TX
- NPI 1003825704
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Longview, TX
- NPI 1013675586
-
- Pharmacist
- Longview, TX
- NPI 1326519521
-
- Pharmacist
- Fort Smith, AR
- NPI 1194373167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735862400000",
"number": "1912913310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 JOHNSTON ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756013909",
"telephone_number": "903-758-6164",
"fax_number": "903-758-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 JOHNSTON ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756013909",
"telephone_number": "903-758-6164",
"fax_number": "903-758-1721"
}
],
"practiceLocations": [
{
"address_1": "110 Johnston St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756013909",
"country_code": "US",
"telephone_number": "903-758-6164",
"fax_number": "903-758-1721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LOUIS MORGAN DRUGS NO 4 INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A",
"authorized_official_last_name": "SAMS",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "903-758-6164",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D. , R.PH."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "1028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140972",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.