Active NPI
Robert Deon Mason, PHARM.D.
- Pharmacist
- Louisville, KY
National Provider Identifier
1205115847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015068
- Practice address
- 4014 Dutchmans LN
Suite 11
Louisville, KY 40207-4715 - Phone
- (502) 894-4464
- Fax
- (502) 893-4460
- NPI assigned
- Aug 14, 2011
- 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 | 015068 | KY | Primary |
Addresses
Primary practice location
4014 Dutchmans LN
Suite 11
Louisville, KY 40207-4715
Mailing address
4014 Dutchmans LN
Suite 11
Louisville, KY 40207-4715
Phone (502) 894-4464
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015068 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313280000000",
"number": "1205115847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4014 DUTCHMANS LN",
"address_2": "SUITE 11",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074715",
"telephone_number": "502-894-4464",
"fax_number": "502-893-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 DUTCHMANS LN",
"address_2": "SUITE 11",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074715",
"telephone_number": "502-894-4464",
"fax_number": "502-893-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "ROBERT",
"middle_name": "DEON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-14",
"last_updated": "2011-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.