Active NPI
Darren Anthony Leblanc
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1164712097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.019227
- Practice address
- 12308 Plank Rd
Baton Rouge, LA 70811-1037 - Phone
- (225) 774-8563
- NPI assigned
- Apr 12, 2011
- Last updated
- Apr 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | PST.019227 | LA | Primary |
Addresses
Primary practice location
12308 Plank Rd
Baton Rouge, LA 70811-1037
Mailing address
5010 Mancuso LN
Apt. 112
Baton Rouge, LA 70809-3594
Phone (318) 401-2623
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.019227 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1164712097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 MANCUSO LN",
"address_2": "APT. 112",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093594",
"telephone_number": "318-401-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12308 PLANK RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708111037",
"telephone_number": "225-774-8563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "DARREN",
"middle_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-12",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.019227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.