Springfield Drug Store LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

7659 Issued in LA

Legal business name

SPRINGFIELD DRUG STORE LLC

Practice address

31696 Highway 22
Springfield, LA 70462-7455

Phone

(225) 294-5045

Fax

(225) 294-2142

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

David Emile Casanova, PDNPI 1053648634

Title

Pharmacist

Phone

(225) 294-5045

Specialties & licenses 1

Addresses

Other names 1

• Springfield Drug Store Doing business as

Tax ID family

Springfield Drug Store2 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.

• Springfield Drug Store LLC

  • Community/Retail Pharmacy
  • Springfield, LA
  • NPI 1891898961
  NPD tax ID

Practitioners 1

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

• David Emile Casanova, P.D.

  • Pharmacist
  • Springfield, LA
  • NPI 1053648634
  NPD Authorized official

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1972099430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "704620010",
            "telephone_number": "225-294-5045",
            "fax_number": "225-294-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31696 HIGHWAY 22",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "704627455",
            "telephone_number": "225-294-5045",
            "fax_number": "225-294-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EMILE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "225-294-5045",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "7659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasha Ryan, RN
• Ti'Asti Savannah
• Adam Shorts, APRN-CNP
• Laurie Mayeaux Simon
• Springfield Drug Store LLC
• Bryony Stafford, MS CCC-SLP. L-SLP
• Magahn Ward Stanga, APRN
• Diana Patterson Steele, RPH
• Laruen Steele, PHARMD
• Tara Enterprise Solutions LLC

• All providers in Springfield, LA
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.