SHAMROCK STREET PHARMACY


Address: 242 West Shamrock Street, Unit 2, Room 120, Pineville, LA 71360-6439
Phone: 3184846665

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health PHY-006280-INX LA Agencies

Other Provider/Organization Names

Other Name Type Code
Central La State Hospital Other Name - Individual/Organization

Office Location

Street Address 242 WEST SHAMROCK STREET
UNIT 2, ROOM 120
City PINEVILLE
State LA
Zip Code 71360-6439

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City PINEVILLE
Zip Code 71360

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Dataset Information

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.

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