Active NPI
Philip C Aucoin, R.PH.
- Pharmacist
- New Iberia, LA
National Provider Identifier
1073515722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9077
- Practice address
- 1104 East Main St
New Iberia, LA 70560 - Phone
- (337) 365-8048
- Fax
- (337) 365-5350
- NPI assigned
- Aug 12, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9077 | LA | Primary |
Addresses
Primary practice location
1104 East Main St
New Iberia, LA 70560
Mailing address
1815 Squirrel Run
New Iberia, LA 70560-1458
Phone (337) 365-5381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9077 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073515722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 SQUIRREL RUN",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705601458",
"telephone_number": "337-365-5381",
"fax_number": "337-365-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 EAST MAIN ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70560",
"telephone_number": "337-365-8048",
"fax_number": "337-365-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUCOIN",
"first_name": "PHILIP",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "9077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.