White's Compounding Pharmacy, LLC
NPI 1770648677ActiveOrganization· Pharmacist· Shreveport, LA
Pharmacist in Shreveport, Louisiana, registered in NPPES in December 2006. The authorized official on file is Doug Boudreaux, Owner. Medicare paid $10,357 for services to 51 patients in 2024.
Overview
| NPI | 1770648677 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2006 |
| Last updated in NPPES | Jan 28, 2021 |
| Certified by provider | Jan 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 4242-IR | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 124 across 8 procedure codes |
| Paid by Medicare | $10,357 |
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