NPIMap

Organization Active NPI

Complete Vital Care Inc

  • Specialty Pharmacy
  • Natchitoches, LA
National Provider Identifier
1962432641
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
3763 Issued in LA
Legal business name
COMPLETE VITAL CARE INC
Practice address
1053 Parkway Dr
Ste B
Natchitoches, LA 71457-6276
Phone
(318) 352-4582
Fax
(318) 357-0778
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Billy Gran
Title
VP
Phone
(318) 686-9995

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X 3763 LA Primary

Addresses

Primary practice location

1053 Parkway Dr
Ste B
Natchitoches, LA 71457-6276

Mailing address

1053 Parkway Dr
Ste B
Natchitoches, LA 71457-6276
Phone (318) 352-4582

Other identifiers 2

IdentifierTypeStateIssuer
1927651OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1266141MedicaidLA

Other names 1

  • COMPLETE VITAL CARE INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Complete Vital Care - Shreveport18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

1053 Parkway Dr
Ste B
Natchitoches, LA 71457
Phone (318) 352-4582

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1962432641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 PARKWAY DR",
            "address_2": "STE B",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576276",
            "telephone_number": "318-352-4582",
            "fax_number": "318-357-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 PARKWAY DR",
            "address_2": "STE B",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576276",
            "telephone_number": "318-352-4582",
            "fax_number": "318-357-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VITAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "GRAN",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "318-686-9995"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "LA",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1927651",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1266141",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE VITAL CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.