Ace DO

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-100381 Issued in MS

Practice address

14444 Coursey Blvd
Baton Rouge, LA 70817-1319

Phone

(225) 753-1499

NPI assigned

Sep 15, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Louisiana Co Inc

  • Pharmacy
  • Baton Rouge, LA
  • NPI 1033124292
  NPD (past)
• Walgreen Louisiana Co Inc

  • Pharmacy
  • Lake Charles, LA
  • NPI 1629084017
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1205506706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13504 ASHBY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708157258",
            "telephone_number": "715-529-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14444 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171319",
            "telephone_number": "225-753-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "ACE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-100381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixon'S Transportation LC
• Joe Marie Jose Dizon, MD
• Michael Barretto Dizon, M.D.
• DL Care Service
• DMS Therapy Services, LLC.
• Dat Huu DO, RPH
• Sarah DO, PT
• Abbey Dobard, PA-C
• Amy Palingcod Dobson, PT
• Mary Margaret Dobson, MD

• Pharmacist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.