| NPI | 1265538664 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-15 |
| Last Updated | 2025-10-07 |
| Authorized Official | John Gray PIC Phone: 3184290161 |
| Mailing Address | 2255 Woodward Ave Shreveport, LA 71103-3547 United States Phone: (318) 429-0161 | Fax: (318) 429-0163 📍 View Map |
| Primary Practice Address | 2255 Woodward Ave Shreveport, LA 71103-3547 United States Phone: (318) 429-0161 | Fax: (318) 429-0163 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | LA | 1271357 | - |
| MEDICAID | OK | 200022580A | - |
| MEDICAID | TX | 580101 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | LA | 5223 |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | LA | 5223 |
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About NPI 1265538664
Polks Crossgates Discount Drugs Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1265538664. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Shreveport, LA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265538664?
NPI 1265538664 belongs to Polks Crossgates Discount Drugs Inc, a Pharmacy, Community/Retail Pharmacy in Shreveport, LA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265538664 active?
The current status of NPI 1265538664 in the NPPES registry is Active. The record was last updated on 2025-10-07.
What specialty is NPI 1265538664?
NPI 1265538664 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265538664?
You can verify NPI 1265538664 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265538664?
The primary practice address on file for NPI 1265538664 is 2255 Woodward Ave, Shreveport, LA 71103-3547. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265538664 issued?
NPI 1265538664 was first issued (enumerated) on 2006-09-15. The NPPES record was last updated on 2025-10-07.
Practice Location Map
Polks Crossgates Discount Drugs Inc is located at 2255 Woodward Ave, Shreveport, LA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Polks Crossgates Discount Drugs Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265538664. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 5223 | LA |
| Pharmacy, Community/Retail Pharmacy | 5223 | LA |