Active NPI
Patrick Willie Roberson, RPH
- Psychiatric Pharmacist
- New Orleans, LA
National Provider Identifier
1164575049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 13131
- Practice address
- 210 State St
New Orleans, LA 70118-5735 - Phone
- (504) 896-2671
- Fax
- (504) 896-2675
- NPI assigned
- Jan 22, 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 13131 | LA | Primary |
Addresses
Primary practice location
210 State St
New Orleans, LA 70118-5735
Mailing address
400 Evergreen Dr
Destrehan, LA 70047-5038
Phone (985) 764-9595
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 |
|---|---|---|---|
| 13131 | LA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164575049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EVERGREEN DR",
"city": "DESTREHAN",
"state": "LA",
"postal_code": "700475038",
"telephone_number": "985-764-9595",
"fax_number": "504-896-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 STATE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185735",
"telephone_number": "504-896-2671",
"fax_number": "504-896-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "PATRICK",
"middle_name": "WILLIE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "LA",
"license": "13131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, 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.