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Line Avenue Pharmacy Inc

Nuclear Pharmacy in Shreveport, LA · enumerated 2006 · authorized official Stephen Caudle, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619058468

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Registry record

Entity type Organization (Type 2)
Legal business name Line Avenue Pharmacy Inc
Other name <Unavail>
Practice address 1822 Line Ave, Shreveport, LA, 71101
Phone (318) 221-5114
Fax (318) 221-5137
Enumeration date Oct 18, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License LA 3999-IR (LA) Secondary
3336N0007X Nuclear Pharmacy Suppliers · License LA 4001-NU (LA) Primary

Authorized official

Name Stephen Caudle
Title President/Owner
Phone (318) 221-5114

Other identifiers

Identifier Type State Issuer
1266841 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Line Avenue Pharmacy Inc?
The NPI for Line Avenue Pharmacy Inc is 1619058468, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Line Avenue Pharmacy Inc?
NPPES lists Stephen Caudle (President/Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.