MEDRX INC (NPI# 1568784031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568784031 |
| Entity Type | Organization |
| Organization Name | MEDRX INC |
| Other Organization Name | MEDIC SPECIALTY PHARMACY |
| Practice Address |
745 Olive St Suite 201 Shreveport LA 71104-2246 |
| Mailing Address |
Po Box 6119 Shreveport LA 71136-6119 |
| Practice Telephone | 3182120614 |
| Practice Fax Number | 3182120616 |
| Mailing Telephone | 3182120614 |
| Mailing Fax Number | 3182120616 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | MR. CLOVIS SMITH BURCH (PRESIDENT) |
| Authorized Official Telephone | 3188650234 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2200054 | 05 |
| Other Name | Type Code |
|---|---|
| Medic Specialty Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295812162 | Medrx Inc | Pharmacy | 18356 Oxnard St, Ste 1, Tarzana, CA 91356-1555 | 2006-10-31 |
| Street Address |
745 OLIVE ST SUITE 201 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242680 | Henry Edward Wood Jr. | Internal Medicine | 745 Olive St, Ste 200, Shreveport, LA 71104-2246 | 2005-08-15 |
| 1356713440 | Delta Nephrology LLC | Internal Medicine | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2015-10-28 |
| 1891105151 | Kristy Anne Lynn | Acupuncturist | 745 Olive St, Suite 212, Shreveport, LA 71104-2246 | 2014-05-07 |
| 1700120524 | Shreveport Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 745 Olive St, Shreveport, LA 71104-2246 | 2012-11-16 |
| 1164730396 | Peterson Counseling Services, LLC | Counselor | 745 Olive St, Suite 109b, Shreveport, LA 71104-2246 | 2010-09-22 |
| 1225225782 | Nancy Poshedley Alexander | Nurse Practitioner | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2007-09-28 |
| 1861682205 | Mary Rocks Zapczynski | Nurse Practitioner | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2007-08-01 |
| 1992925135 | Shreveport Surgery Center Ptrshp | Anesthesiology | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 2007-04-30 |
| 1679792014 | Fred A. Lord Jr. | Nurse Anesthetist, Certified Registered | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 2007-04-24 |
| 1215155437 | Debra C. Smith | Nurse Anesthetist, Certified Registered | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629092150 | Complete Vital Care, Inc. | Pharmacy | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912479270 | H & W Drug Store 3 | Pharmacy | 1667 Tchoupitoulas St Ste B, New Orleans, LA 70130-1852 | 2018-12-27 |
| 1184111270 | Option Care Enterprises, Inc. | Pharmacy | 524 Elmwood Park Blvd Ste 120, Elmwood, LA 70123 | 2018-04-16 |
| 1801309133 | Fmol Health Systems | Pharmacy | 4950 Essen Ln Ste 540, Baton Rouge, LA 70809-3738 | 2017-11-08 |
| 1760836381 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 1405 Jefferson Hwy Ste A, New Orleans, LA 70121-2426 | 2016-04-20 |
| 1962816223 | Avita Drugs LLC | Pharmacy | 5551 Corporate Blvd Ste 102, Baton Rouge, LA 70808-2512 | 2014-06-16 |
| 1932412095 | Optum Infusion Services 305, LLC | Pharmacy | 11211 Industriplex Blvd., Ste. 900, Baton Rouge, LA 70809 | 2010-07-19 |
| 1255566857 | Medcore Specialty Pharmacy | Pharmacy | 1435 E. Carroll St., Suite B, Coushatta, LA 71019 | 2009-05-27 |
| 1255722468 | Affordable Pharmacy LLC | Pharmacy | 1718 N Foster Dr Ste B, Baton Rouge, LA 70806-1076 | 2015-02-10 |
| 1033508544 | Rays Pharmacy On Versailles LLC | Pharmacy | 78a Versailles Blvd, Alexandria, LA 71303-3960 | 2015-01-21 |
| 1215274741 | Lacombe Family Pharmacy LLC | Pharmacy | 28079 Us Hwy 190, Lacombe, LA 70445 | 2013-01-03 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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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.