Organization Active NPI

Louis Morgan Drugs No 4 Inc

  • Long Term Care Pharmacy
  • Longview, TX
National Provider Identifier
1912913310
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1028 Issued in TX
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

Updated by the provider on Jan 3, 2025

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.NPI 1003825704
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
140972MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LTC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.