COMPLETE VITAL CARE INC (NPI# 1962432641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962432641 |
Entity Type | Organization |
Organization Name | COMPLETE VITAL CARE INC |
Other Organization Name | COMPLETE VITAL CARE INC |
Practice Address |
1053 Parkway Dr Ste B Natchitoches LA 71457-6276 |
Practice Telephone | 3183524582 |
Practice Fax Number | 3183570778 |
Mailing Telephone | 3183524582 |
Mailing Fax Number | 3183570778 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2010-04-16 |
Authorized Official Name | BILLY GRAN (VP) |
Authorized Official Telephone | 3186869995 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
3763 | LA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1266141 | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 1927651 | 01 |
Other Name | Type Code |
---|---|
COMPLETE VITAL CARE INC | Doing Business As Name - Organization |
Street Address |
1053 PARKWAY DR STE B |
City | NATCHITOCHES |
State | LA |
Zip Code | 71457-6276 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174635023 | Gardiners Pharmacy Inc | Pharmacy | 1053 Parkway Dr, Natchitoches, LA 71457-6276 | 2006-08-31 |
1295849271 | Cades Pharmacy LLC | Pharmacy | 1053 Parkway Dr, Natchitoches, LA 71457-6276 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
Find all providers in zip 71457 |
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 |
---|---|---|---|---|
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 | NATCHITOCHES |
Zip Code | 71457 |
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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.