COMPLETE VITAL CARE - SHREVEPORT – NPI #1790799591
Pharmacy

A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.

Health Care Provider Taxonomy Code for Pharmacy

COMPLETE VITAL CARE - SHREVEPORT is a pharmacy located in SHREVEPORT, LA. NPPES has assigned the NPI number 1790799591 to COMPLETE VITAL CARE - SHREVEPORT on July 28, 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 3336M0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Mail Order 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
1790799591
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) 447-4095 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
3336M0002X
- Pharmacy / Mail Order 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.