Active NPI
Lisa Lato Bianca
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1174955074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015078
- Practice address
- 6251 Perkins Rd Ste C
Baton Rouge, LA 70808-4167 - Phone
- (225) 389-6251
- NPI assigned
- Aug 1, 2013
- Last updated
- Jun 22, 2022
- Sex
- Female
- 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 | 015078 | LA | Primary |
Addresses
Primary practice location
6251 Perkins Rd Ste C
Baton Rouge, LA 70808-4167
Mailing address
1330 Charmaine Ave
Baton Rouge, LA 70806-7715
Phone (225) 202-7685
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 |
|---|---|---|---|
| 015078 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTG2, LLC | Current | Accepting new patients | |
| Albertsons LLC | Past | Accepting new patients |
Locations
6251 Perkins Rd
Ste C
Baton Rouge, LA 70808
Phone (225) 389-6251
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1174955074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 CHARMAINE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067715",
"telephone_number": "225-202-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6251 PERKINS RD STE C",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084167",
"telephone_number": "225-389-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCA",
"first_name": "LISA",
"middle_name": "LATO",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "015078",
"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 Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.