DIXIE PHARMACY INC. NPI 1013912047

NPI Information

  • NPI: 1013912047
  • Provider Name: DIXIE PHARMACY, INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • CLIA Number: 19D2152871
  • Address: 615 8TH ST
    COLFAX, LA
    ZIP 71417
  • Phone: (318) 627-5428

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NPI Details

DIXIE PHARMACY, INC. is a pharmacy in Colfax, LA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DIXIE PHARMACY, INC. NPI is 1013912047. The provider is registered as an organization entity type.

The provider's business location address is:

615 8TH ST
COLFAX, LA
ZIP 71417-414
Phone: (318) 627-5428
Fax: (318) 627-4187

The provider's authorized official is Samuel H Reitzell .
The authorized official title is Cheif Pharmacist and has the following contact phone number (318) 627-5428.

The CLIA number assigned to this NPI record is 19D2152871 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 6/16/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyAR3413856LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11212903MEDICAIDLOUISIANA
21904691OTHERLOUISIANANCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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