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PRACTICEMD, INC.
NPI 1063717841
Non-Pharmacy Dispensing Site in Shreveport, LA

Active since January 25, 2011
242 LYNBROOK BLVD, SHREVEPORT, LA 71106(318) 841-4312(318) 841-4342 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Practicemd, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRACTICEMD, INC. (NPI 1063717841) is a healthcare organization registered as a non-pharmacy dispensing site in Shreveport, Louisiana and active in the NPI registry since January 2011. The organization lists Mike Byrd, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1063717841
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePRACTICEMD, INC.
Location Address242 LYNBROOK BLVDShreveport, LA 71106-6548
Mailing AddressPo Box 6657Shreveport, LA 71136-6657 · (318) 841-4312 · Fax (318) 841-4342
Phone(318) 841-4312
Fax(318) 841-4342
Organization SubpartNo
Authorized OfficialMike ByrdC.o.o. · (318) 841-4312
Enumeration DateJanuary 25, 2011
✔ NPI 1063717841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
242 LYNBROOK BLVD, Shreveport, LA 71106
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESURGENTMD, INC.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
242 LYNBROOK BLVD
SHREVEPORT, LA 71106
Caddo Parish (318) 869-4555
VIRTUSMD, INC.
Durable Medical Equipment & Medical Supplies
242 LYNBROOK BLVD
SHREVEPORT, LA 71106
Caddo Parish (318) 869-4555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Practicemd, Inc.'s NPI number?

The NPI number for Practicemd, Inc. is 1063717841. It was assigned to this organization in the NPPES registry on January 25, 2011.

Where is Practicemd, Inc. located?

Practicemd, Inc. is located at 242 Lynbrook Blvd, Shreveport, LA 71106. The listed phone number is (318) 841-4312.

What is Practicemd, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Practicemd, Inc. was last updated on January 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.