NPIMap

Organization Active NPI

CVS

  • Community/Behavioral Health Agency
  • Shreveport, LA
National Provider Identifier
1932481900
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
18858 Issued in LA
Legal business name
CVS
Practice address
3300 Youree Dr
Shreveport, LA 71105-2116
Phone
(318) 869-3453
Fax
(318) 869-0784
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Mr. Laith Kamel Qaisi, PHARM D
Title
Pharmacist in Charge
Phone
(318) 869-3453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 18858 LA Primary

Addresses

Primary practice location

3300 Youree Dr
Shreveport, LA 71105-2116

Mailing address

3300 Youree Dr
Shreveport, LA 71105-2116
Phone (318) 869-3453

National Provider Directory

National Provider Directory

Locations

3300 Youree Dr
Shreveport, LA 71105
Phone (318) 869-3453

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1932481900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052116",
            "telephone_number": "318-869-3453",
            "fax_number": "318-869-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052116",
            "telephone_number": "318-869-3453",
            "fax_number": "318-869-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "QAISI",
        "authorized_official_first_name": "LAITH",
        "authorized_official_middle_name": "KAMEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "318-869-3453",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "18858",
            "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 Sep 15, 2011; 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.