INTRATHECAL COMPOUNDING SPECIALISTS LLC (NPI# 1952579484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952579484 |
| Entity Type | Organization |
| Organization Name | INTRATHECAL COMPOUNDING SPECIALISTS LLC |
| Other Organization Name | INTRATHECAL COMPOUNDING SPECIALISTS LLC |
| Practice Address |
206 A Jacobs Run Scott LA 70583 |
| Practice Telephone | 3372376077 |
| Practice Fax Number | 3372378841 |
| Mailing Telephone | 3372376077 |
| Mailing Fax Number | 3372378841 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2013-12-09 |
| Authorized Official Name | STUART BURGESS (DIR OF PHARMACY) |
| Authorized Official Telephone | 3372376077 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
5856 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2035607 | 01 |
| Other Name | Type Code |
|---|---|
| INTRATHECAL COMPOUNDING SPECIALISTS LLC | Doing Business As Name - Organization |
| Street Address |
206 A JACOBS RUN |
| City | SCOTT |
| State | LA |
| Zip Code | 70583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450871 | Lynley Katherine Dornier | Social Worker | 913 Alfred Street, Scott, LA 70583 | 2020-05-29 |
| 1053806257 | Larry Lantier | Pharmacist | 5900 Cameron Street, Suite 100, Scott, LA 70583 | 2018-06-29 |
| 1972024370 | Erica Zeno | Case Manager/Care Coordinator | 1000 Renaud Dr Lot 88, Scott, LA 70583 | 2017-07-06 |
| 1750811295 | Brookshire Grocery Company | Pharmacy | 200 Destination Pointe Ln., Scott, LA 70583 | 2017-06-18 |
| 1629516331 | Fontenot Scott Pharmacy | Pharmacy | 1000 St Mary St., Scott, LA 70583 | 2017-02-02 |
| 1871844977 | Carol J Coreil | Social Worker | 1500 West Willow Street, Scott, LA 70583 | 2012-09-28 |
| 1982983870 | Therapy Center of Acadiana | Clinic/Center | 300 Park West Drive, Suite A, Scott, LA 70583 | 2011-08-09 |
| 1831424340 | Valentini Imvriotis | Physical Therapist | 101 Park West, Suite D, Scott, LA 70583 | 2009-10-16 |
| 1811002744 | Mary Saleme | Pediatrics | 6100 Cameron Street, Scott, LA 70583 | 2006-08-20 |
| 1669936407 | Lyla Wham Savoie | Pharmacist | 5900 Cameron Street, Suite 100, Scott, LA 70583 | 2019-01-25 |
| Find all providers in zip 70583 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669494225 | Cashway Pharmacy of Scott Inc | Pharmacy | 5900 Cameron St, Ste 100, Scott, LA 70583-5182 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838469 | Vidrine Pharmaceutical Group, LLC | Pharmacy | 404 E Prien Lake Rd, Lake Charles, LA 70601-8507 | 2020-07-13 |
| 1124667027 | Jc Pharmacy, LLC | Pharmacy | 3329 Hwy 371, Ringgold, LA 71068 | 2019-12-26 |
| 1831750470 | Lapharmacy LLC | Pharmacy | 839 S Clearview Pkwy, Jefferson, LA 70121-3119 | 2019-06-25 |
| 1811387673 | Healthscripts of America - Southeast Louisiana, LLC. | Pharmacy | 2395 Gause Blvd E, Suite 11, Slidell, LA 70461-6010 | 2015-02-02 |
| 1801209051 | Gulf States Health Partners LLC | Pharmacy | 7855 Howell Blvd Ste 160, Baton Rouge, LA 70807-5257 | 2014-06-05 |
| 1457772238 | Apothecary Arts, L.L.C. | Pharmacy | 214 Expo Cir Ste 2, West Monroe, LA 71292-9497 | 2013-12-23 |
| 1295166254 | Ruston Wellness & Compounding Pharmacy | Pharmacy | 109 N Trenton St # 2, Ruston, LA 71270-4321 | 2013-12-02 |
| 1497190227 | Medical Pharmacy Inc. | Pharmacy | 4965 W. Park Drive, Zachary, LA 70791 | 2013-05-07 |
| 1487990818 | Icare Phamacy LLC | Pharmacy | 2807 Kaliste Saloom Rd, Lafayette, LA 70508-7141 | 2012-12-12 |
| 1164759759 | M&m Pharmacy LLC | Pharmacy | 311 Dixie Plz, Natchitoches, LA 71457-5880 | 2009-11-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INTRATHECAL COMPOUNDING SPECIALISTS LLC.
| 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.