Active NPI
Reshauna M Gray, PHARM.D
- Pharmacist
- Shreveport, LA
National Provider Identifier
1992264329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.022801
- Practice address
- 9209 Mansfield Rd
Shreveport, LA 71118-3152 - Phone
- (318) 671-0271
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.022801 | LA | Primary |
Addresses
Primary practice location
9209 Mansfield Rd
Shreveport, LA 71118-3152
Mailing address
5400 Shreve HLS N
Shreveport, LA 71129-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.022801 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Louisiana Co Inc | Past | Accepting new patients | |
| Walgreen Louisiana Co Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1992264329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 SHREVE HLS N",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711293600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9209 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183152",
"telephone_number": "318-671-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "RESHAUNA",
"middle_name": "M",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.022801",
"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 Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.