Northeast La Pharmacy
Long Term Care Pharmacy
8860 Quimper Pl, Suite 100, Shreveport
Louisiana, 71105-5686
318-797-9517 318-212-0057
Northeast La Pharmacy is a Long Term Care Pharmacy in Shreveport, Louisiana. It is located at 8860 Quimper Pl, Suite 100, Shreveport and it's customer support contact number is 318-797-9517. The authorized person of Northeast La Pharmacy is Douglas Robichaux, RPH who is Regional Director Of Operations-nor of the pharmacy and his contact number is 318-797-9517. Active license number of Northeast La Pharmacy is PHY005546IR for Long Term Care Pharmacy in Louisiana. Northeast La Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Northeast La Pharmacy is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Northeast La Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Northeast La Pharmacy |
| Type: | Long Term Care Pharmacy |
| Location: | 8860 Quimper Pl, Suite 100, Shreveport,
Louisiana, 71105-5686 |
| Phone: | 318-797-9517 |
| Fax: | 318-212-0057 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Douglas Robichaux |
| Credentials: | RPH |
| Position: | Regional Director Of Operations-nor |
| Contact Number: | 318-797-9517 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1649218728 |
| NPI Enumeration Date: | 02 Jun, 2006 |
| NPI Last Update On: | 17 Nov, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northeast La Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PHY005546IR | Louisiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1275221 | Medicaid | Louisiana | |
| 2034907 | Other | | Pk |
Medicare Enrollment:
Northeast La Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3173734498 | O20100930032622 | Northeast La Pharmacy | DME SUPPLIER - PHARMACY |
Products Available:
Northeast La Pharmacy has following products available for sale under medicare.
| Products: |
|---|
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Infusion Pumps & Supplies: External Infusion | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8860 Quimper Pl, Suite 100
Shreveport, Louisiana |
| Zip: | 71105-5686 |
| Phone Number: | 318-797-9517 |
| Fax Number: | 318-212-0057 |
Patients can reach Northeast La Pharmacy at
8860 Quimper Pl, Suite 100, Shreveport, Louisiana or can
call on customer care at 318-797-9517.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.