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LINE AVENUE PHARMACY INC
NPI 1619058468
Pharmacy - Nuclear Pharmacy in Shreveport, LA

Active since October 18, 2006
1822 LINE AVE, SHREVEPORT, LA 71101(318) 221-5114(318) 221-5137 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Line Avenue Pharmacy Inc NPPES

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

LINE AVENUE PHARMACY INC (NPI 1619058468), doing business as Shreveport Nuclear Pharmacy, is a healthcare organization registered as a nuclear pharmacy in Shreveport, Louisiana and active in the NPI registry since October 2006. The organization lists Stephen Randall Caudle, President/owner, as its authorized official.

NPPES Registry Identity

NPI1619058468
Entity TypeOrganization
Primary Taxonomy3336N0007X
Legal Business NameLINE AVENUE PHARMACY INC
Location Address1822 LINE AVEShreveport, LA 71101-4612
Mailing Address1822 Line AveShreveport, LA 71101-4612 · (318) 221-5114 · Fax (318) 221-5137
Phone(318) 221-5114
Fax(318) 221-5137
Organization SubpartNo
Authorized OfficialStephen Randall CaudlePresident/owner · (318) 221-5114
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1619058468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Nuclear PharmacySuppliers
Taxonomy Code3336N0007X
License✔ Licensed in LA · LA 4001-NU
Definition
A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License LA 3999-IR (LA)
1822 LINE AVE, Shreveport, LA 71101
Open in Google Maps ↗

Other Names 1

Doing Business AsShreveport Nuclear Pharmacy

Other Identifiers 1

Medicaid1266841LA

Other Providers at the Same Location NPPES

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

STEPHEN ANDREW SNELLING PHARM.D.
Pharmacist
1822 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-5114

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 Line Avenue Pharmacy Inc's NPI number?

The NPI number for Line Avenue Pharmacy Inc is 1619058468. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Shreveport Nuclear Pharmacy.

Where is Line Avenue Pharmacy Inc located?

Line Avenue Pharmacy Inc is located at 1822 Line Ave, Shreveport, LA 71101. The listed phone number is (318) 221-5114.

What is Line Avenue Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Nuclear Pharmacy, with taxonomy code 3336N0007X.

When was this NPI record last updated?

The NPPES record for Line Avenue Pharmacy Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.