COMPLETE VITAL CARE - SHREVEPORT – NPI #1144242728
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Health Care Provider Taxonomy Code for Pharmacy

COMPLETE VITAL CARE - SHREVEPORT is a pharmacy located in SHREVEPORT, LA. NPPES has assigned the NPI number 1144242728 to COMPLETE VITAL CARE - SHREVEPORT on July 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMPLETE VITAL CARE - SHREVEPORT” is a dba name, the actual legal business name for this organization is COMPLETE VITAL CARE, INC.. The primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMPLETE VITAL CARE - SHREVEPORT below.

NPI Profile for
COMPLETE VITAL CARE, INC.

NPI Number
1144242728
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMPLETE VITAL CARE, INC.
Doing Business As (dba): COMPLETE VITAL CARE - SHREVEPORT
Primary location
2530 BERT KOUNS INDUSTRIAL LOOP
STE 116
SHREVEPORT, LA 71118-3132
Phone: (318) 686-9995 Fax: (318) 686-9997
Mailing address
PO BOX 5047
MERIDIAN, MS 39302-5047
Phone: (800) 447-0495 Fax: (601) 482-7490
Organization Subpart
No
Authorized Official
GEORGE GARDINER
PRESIDENT
Phone: (318) 686-9995
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)		 LA 4863 IR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.