NORTHEAST LA PHARMACY NPI 1649218728

NPI Information

  • NPI: 1649218728
  • Provider Name: NORTHEAST LA PHARMACY
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: NATIONAL PHARMACY SERVICES
  • Address: 8860 QUIMPER PL
    SUITE 100
    SHREVEPORT, LA
    ZIP 71105
  • Phone: (318) 797-9517

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NPI Details

NORTHEAST LA PHARMACY is a long term care pharmacy pharmacy in Shreveport, LA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. NORTHEAST LA PHARMACY NPI is 1649218728. The provider is registered as an organization entity type.
The provider Is Doing Business As National Pharmacy Services.

The provider's business location address is:

8860 QUIMPER PL
SUITE 100
SHREVEPORT, LA
ZIP 71105-686
Phone: (318) 797-9517
Fax: (318) 212-0057

The provider's authorized official is Douglas Robichaux .
The authorized official title is Regional Director Of Operations-nor and has the following contact phone number (318) 797-9517.

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.

  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)

The enumeration date for this NPI number is 6/2/2006 and was last updated on 11/17/2023.

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
13336L0003XPharmacyLong Term Care PharmacyPHY005546IRLOUISIANAYes

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
11275221MEDICAIDLOUISIANA
22034907OTHERPK

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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