SHAMROCK STREET PHARMACY (NPI# 1427365600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427365600 |
Entity Type | Organization |
Organization Name | SHAMROCK STREET PHARMACY |
Other Organization Name | CENTRAL LA STATE HOSPITAL |
Practice Address |
242 West Shamrock Street Unit 2, Room 120 Pineville LA 71360-6439 |
Practice Telephone | 3184846665 |
Practice Fax Number | 3184846483 |
Mailing Telephone | 3184846665 |
Mailing Fax Number | 3184846483 |
Enumeration Date | 2010-09-09 |
Last Update Date | 2011-03-18 |
Authorized Official Name | MR. JEFF S LINZAY (PHARMACY DIRECTOR) |
Authorized Official Telephone | 3184846665 |
Authorized Official Credential | REGISTERED PHARM |
Is Organization Subpart | Y |
Parent Organization Name | CENTRAL LA STATE HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | PHY-006280-INX | LA | Agencies |
Other Name | Type Code |
---|---|
Central La State Hospital | Other Name - Individual/Organization |
Street Address |
242 WEST SHAMROCK STREET UNIT 2, ROOM 120 |
City | PINEVILLE |
State | LA |
Zip Code | 71360-6439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710063763 | Vijaya L. Boppana | Psychiatry & Neurology | 242 West Shamrock Street, Pineville, LA 71360 | 2006-10-31 |
1194845537 | Patricia Ann Johnson | Counselor | 242 West Shamrock Street, Pineville, LA 71360-6439 | 2007-03-30 |
1548300643 | Jose Eladio Colls | Counselor | 242 West Shamrock Street, Pineville, LA 71360 | 2007-02-07 |
1629118781 | Debra Louise Burton | Counselor | 242 West Shamrock Street, Pineville, LA 71360-6439 | 2007-02-07 |
1699829309 | Rebecca I Craig | Counselor | 242 West Shamrock Street, Pineville, LA 71360-0473 | 2007-01-22 |
1356495006 | Eric Shane Blair | Counselor | 242 West Shamrock Street, Pineville, LA 71360 | 2007-01-22 |
1023161247 | Dixie K Orris | Social Worker | 242 West Shamrock Street, Pineville, LA 71360 | 2007-01-19 |
1750467718 | Rama Boppana | Psychiatry & Neurology | 242 West Shamrock Street, Pineville, LA 71360 | 2006-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
Find all providers in zip 71360 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215471180 | Bayou Mental Health Services,llc | Community/Behavioral Health | 818 Maint St Ste A, Pineville, LA 71360 | 2016-12-13 |
1144682873 | Mosaic Group, LLC | Community/Behavioral Health | 600 Towne Centre Blvd, Suite 403, Pineville, NC 28134 | 2016-03-22 |
1861895740 | Tonga's Counseling and Assessment Services | Community/Behavioral Health | 109 Armstrong St, Pineville, LA 71360-6610 | 2014-10-06 |
1124159389 | Cenla Case Management, LLC | Community/Behavioral Health | 5808 Highway 28 E, Pineville, LA 71360-7704 | 2007-03-08 |
1518306000 | Bayou Mental Health Services, LLC. | Community/Behavioral Health | 818 Main St, Pineville, LA 71360-6409 | 2013-06-18 |
1780942565 | La Federation of Families | Community/Behavioral Health | 802 Main St, Pineville, LA 71360-6406 | 2012-04-30 |
1588937098 | Childrens Advocacy Center of Bell County | Community/Behavioral Health | 313 S Cherry St, Pineville, KY 40977-1724 | 2012-02-14 |
1710126412 | Self-full Psychotherapy, PC | Community/Behavioral Health | 106 Oakley Ave, Suite 300, Pineville, NC 28134-8620 | 2009-02-19 |
1124201793 | Freedom Counseling Center Inc | Community/Behavioral Health | 2801 Donahue Ferry Rd, Pineville, LA 71360-4513 | 2007-12-06 |
1245458991 | Pinecrest Developmental Center | Community/Behavioral Health | 2969 Highway 28 E, Pineville, LA 71360-5716 | 2007-04-20 |
Find all providers in PINEVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.